| Clayton Roush, CRNA | |
|
2977 Orders Rd, Grove City, OH 43123-8283 | |
| (304) 593-8209 | |
| Not Available |
| Full Name | Clayton Roush |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2977 Orders Rd, Grove City, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497132005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9323110 (Florida) | Primary |
| 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 | Premier Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
| Entity Name | Ams Ohio Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558800532 PECOS PAC ID: 2769743335 Enrollment ID: O20180221002674 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Roush, CRNA 2977 Orders Rd, Grove City, OH 43123-8283 Ph: (304) 593-8209 | Clayton Roush, CRNA 2977 Orders Rd, Grove City, OH 43123-8283 Ph: (304) 593-8209 |
Randall Kinietz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5300 N Meadows Dr, Grove City, OH 43123 Phone: 614-663-5000 | |
Jacob Deemer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1649 Nature Dr, Grove City, OH 43123 Phone: 724-809-1042 |