| Dejan Zivkovic, MS | |
|
850 Columbia Rd, Westlake, OH 44145-1493 | |
| (440) 808-4000 | |
| Not Available |
| Full Name | Dejan Zivkovic |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 850 Columbia Rd, Westlake, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255333282 | NPI | - | NPPES |
| 2375522 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67000093 (Ohio) | Primary |
| Entity Name | Southwest General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dejan Zivkovic, MS Po Box 567, Chagrin Falls, OH 44022-0567 Ph: (216) 464-5160 | Dejan Zivkovic, MS 850 Columbia Rd, Westlake, OH 44145-1493 Ph: (440) 808-4000 |
Jay R Blackmur, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Jeffrey P Scavelli, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Chris E Thomascik, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Jayati Thamilarasan, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 Fax: 440-808-4010 | |
Michael S Kovach, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 | |
Theodore K Brewer, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 |