| Keith Lathrop, CRNA | |
|
14904 Richmond Hwy Ste 104, Woodbridge, VA 22191-3908 | |
| (703) 497-4222 | |
| (703) 492-0164 |
| Full Name | Keith Lathrop |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 14904 Richmond Hwy Ste 104, Woodbridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659420628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024173719 (Virginia) | Primary |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Lathrop, CRNA 9500 S Dadeland Blvd Ste 200, Miami, FL 33156-2866 Ph: (786) 530-3820 | Keith Lathrop, CRNA 14904 Richmond Hwy Ste 104, Woodbridge, VA 22191-3908 Ph: (703) 497-4222 |
Dorothy Lorraine Shackleford, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3963 Hartlake St, Woodbridge, VA 22192 Phone: 703-590-2019 | |
Robyn Camille Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-583-3087 | |
Mrs. Jennifer Schmid Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000 | |
Claire Caine Garvey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000 | |
Karina Bedosky-arellano, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2280 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-9750 | |
Steven Paul Kelsch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2300 Opiz Blvd., Woodbridge, VA 22191 Phone: 703-670-1313 | |
Tieya Whites, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-2075 |