| Kathryn Anzalone, | |
|
860 E Broad St Ste I, Elyria, OH 44035-6542 | |
| (440) 323-8515 | |
| Not Available |
| Full Name | Kathryn Anzalone |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 860 E Broad St Ste I, Elyria, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235823196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0020810 (Ohio) | Primary |
| Entity Name | Elyria Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Anzalone, 5320 Middlebury Ct, Sheffield Village, OH 44054-2999 Ph: (440) 371-7992 | Kathryn Anzalone, 860 E Broad St Ste I, Elyria, OH 44035-6542 Ph: (440) 323-8515 |
Jessica Anne Yager, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Mr. Scott Michael Dickerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7536 | |
Danette Joan Gissinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St, Suite1, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Susan F Dimassa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Drive, Elyria, OH 44035 Phone: 440-930-6050 Fax: 440-934-8882 | |
Mrs. Debera W Moennich, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Suite I, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Laurie Ann Frankito, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Elyria, OH 44035 Phone: 440-323-8458 Fax: 440-323-7900 |