| Christopher J Copley, CRNA | |
|
2855 Sweet Flag Way, Stow, OH 44224-5946 | |
| (330) 618-9944 | |
| (330) 677-0584 |
| Full Name | Christopher J Copley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 2855 Sweet Flag Way, Stow, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447208434 | NPI | - | NPPES |
| 7091249 | Medicaid | OH | |
| 730541 | Other | OH | BUCKEYE COMMUNITY HLTH PL |
| 120744 | Other | OH | KAISER PERMANENTE INDV # |
| 100153 | Other | OH | KAISER PERMANENTE GROUP # |
| 000000316867 | Other | OH | ANTHEM BCBS INDV NUMBER |
| 2080224 | Other | OH | UNITED HEALTHCARE GROUP # |
| 2454188 | Medicaid | OH | |
| 34-0891295 | Other | OH | EMPLOYER FEDERAL TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN-288668 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Ohio Anesthesia Services, Llc | 2163574310 | 2 |
| Entity Name | Anesthesiology Services Network Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
| Entity Name | Surgery Center Of Sandusky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891883096 PECOS PAC ID: 6901807957 Enrollment ID: O20070118000339 |
| Entity Name | Northern Ohio Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265675847 PECOS PAC ID: 2163574310 Enrollment ID: O20090720000001 |
| Entity Name | Northstar Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio - Tcs Professional Corporati |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770200990 PECOS PAC ID: 5890169494 Enrollment ID: O20230322001895 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher J Copley, CRNA 2855 Sweet Flag Way, Stow, OH 44224-5946 Ph: (330) 618-9944 | Christopher J Copley, CRNA 2855 Sweet Flag Way, Stow, OH 44224-5946 Ph: (330) 618-9944 |
Mrs. Kathleen D Crognale, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4441 Hudson Dr, Stow, OH 44224 Phone: 330-920-4500 Fax: 330-920-4501 |