| Dr Debra Pecka Malina, CRNA | |
|
9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060-6521 | |
| (440) 205-1225 | |
| (440) 205-1275 |
| Full Name | Dr Debra Pecka Malina |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 9614 Old Johnnycake Ridge Rd, Concord Township, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447217815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020672 (Ohio) | Primary |
| Entity Name | Ambulatory Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922270495 PECOS PAC ID: 5294814240 Enrollment ID: O20080502000242 |
| 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 |
| Entity Name | Northern Ohio Eye Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508964370 PECOS PAC ID: 7012056781 Enrollment ID: O20100511000261 |
| Entity Name | Lake Erie Sedation Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265927594 PECOS PAC ID: 0840536819 Enrollment ID: O20190111001533 |
| Entity Name | Uh North Ridgeville Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1396213294 PECOS PAC ID: 5890032494 Enrollment ID: O20190118002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Debra Pecka Malina, CRNA Po Box 381468, Germantown, TN 38183-1468 Ph: () - | Dr Debra Pecka Malina, CRNA 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060-6521 Ph: (440) 205-1225 |
Mr. Patrick Joseph Ginley Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060 Phone: 440-205-1225 | |
Ms. Michelle Lee Patterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060 Phone: 440-205-1225 | |
Kelly K Boland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060 Phone: 440-205-1225 |