| Joel A Midgette Sr, CRNA | |
|
6701 Airport Blvd, Suite D430b, Mobile, AL 36608-6705 | |
| (251) 631-3270 | |
| (251) 631-3273 |
| Full Name | Joel A Midgette Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6701 Airport Blvd, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710923271 | NPI | - | NPPES |
| 09076891 | Medicaid | MS | |
| 051552004 | Medicaid | AL | |
| 51509784 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 134236 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-039206 (Alabama) | Primary |
| Entity Name | Anesthesiologists Associated Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851371850 PECOS PAC ID: 6204739519 Enrollment ID: O20040202000465 |
| Entity Name | Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880 |
| Entity Name | Physynergy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel A Midgette Sr, CRNA 6701 Airport Blvd, Suite D430b, Mobile, AL 36608-6705 Ph: (251) 631-3270 | Joel A Midgette Sr, CRNA 6701 Airport Blvd, Suite D430b, Mobile, AL 36608-6705 Ph: (251) 631-3270 |
Johnathan E Bruns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577 | |
Mrs. Lisa M Mckinley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Suite 430, Mobile, AL 36608 Phone: 251-631-3270 | |
Ted W Holmes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3719 Dauphin St, Springhill Medical Center Anesthesia Dept, Mobile, AL 36608 Phone: 251-342-3000 Fax: 251-342-3043 | |
Lindsey Lovorn Diehl, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 351-633-1000 | |
Richard Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 205-848-2925 Fax: 334-377-4417 | |
Jennifer D Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577 | |
John Adam Self, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2451 Fillingim St, Room 335, Mobile, AL 36617 Phone: 251-471-7045 |