| Justin Paul Momeyer, | |
|
1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | |
| (740) 393-9000 | |
| Not Available |
| Full Name | Justin Paul Momeyer |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679229629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.450251 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0020791 (Ohio) | Primary |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Midwest Physician Anesthesia Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598703951 PECOS PAC ID: 8921997230 Enrollment ID: O20040315000130 |
| Entity Name | Knox Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Paul Momeyer, 7810 Meadow Chase Dr, Sunbury, OH 43074-1115 Ph: (614) 563-2876 | Justin Paul Momeyer, 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 Ph: (740) 393-9000 |
Matthew Ryan Baker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 | |
Amanda Hathaway, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 | |
Angela Lawson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9019 Fax: 740-399-3188 | |
Roland Schmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 |