| David Palazzolo, RN | |
|
3000 Mack Rd, Fairfield, OH 45014-5335 | |
| (513) 672-3309 | |
| (513) 672-3323 |
| Full Name | David Palazzolo |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3000 Mack Rd, Fairfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740270040 | NPI | - | NPPES |
| 2327851 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 298006 (Ohio) | Primary |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| David Palazzolo, RN 200 Northland Blvd Fl 1, Cincinnati, OH 45246-3604 Ph: (513) 672-4128 | David Palazzolo, RN 3000 Mack Rd, Fairfield, OH 45014-5335 Ph: (513) 672-3309 |
Gerald Kistler, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323 | |
Rita Thomas, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323 | |
Janie M Mcelwain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Mark Koch, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Rogers Tuwei, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Jerome James, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323 | |
Tendai M Manyau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3300 |