| Evan R Guffey, CRNA | |
|
2085 17th St, Wyandotte, MI 48192-3819 | |
| (734) 775-5758 | |
| Not Available |
| Full Name | Evan R Guffey |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2085 17th St, Wyandotte, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144901364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020963 (Ohio) | Primary |
| 163W00000X | Registered Nurse | 4704314335 (Michigan) | Secondary |
| 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 | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan R Guffey, CRNA 2085 17th St, Wyandotte, MI 48192-3819 Ph: (734) 775-5758 | Evan R Guffey, CRNA 2085 17th St, Wyandotte, MI 48192-3819 Ph: (734) 775-5758 |
Kurt M Schuon, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3697 Fax: 734-324-3425 | |
Charles T Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3697 Fax: 734-324-3425 | |
Jessica Finateri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Mrs. Janis Faye Grose, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 70 Poplar St, Wyandotte, MI 48192 Phone: 734-285-7198 | |
Jamie Ettaher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Jayne A Cady, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3697 Fax: 734-324-3425 |