| Luz Danelly Gotham, CRNA | |
|
8401 Market St, Youngstown, OH 44512-6725 | |
| (330) 729-2929 | |
| (330) 729-1841 |
| Full Name | Luz Danelly Gotham |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 8401 Market St, Youngstown, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922247998 | NPI | - | NPPES |
| 2948654 | Medicaid | OH | |
| 000000602907 | Other | OH | ANTHEM |
| 11958330 | Other | CAQH | |
| 8244021 | Other | OH | MEDICARE PTAN |
| P00723133 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN291902 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 80909 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Jameson | New castle, PA | Hospital |
| Upmc Horizon | Greenville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Pittsburgh Physicians | 8729990239 | 3868 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Luz Danelly Gotham, CRNA 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Luz Danelly Gotham, CRNA 8401 Market St, Youngstown, OH 44512-6725 Ph: (330) 729-2929 |
Colleen T Masternick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8135 Market St, Youngstown, OH 44512 Phone: 330-758-0900 Fax: 330-758-2790 | |
Anthony Wayne Spatar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Candace Stefancin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7630 Southern Blvd, Youngstown, OH 44512 Phone: 330-729-8000 Fax: 330-729-8084 | |
Amanda Lee Lingenfelter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3622 Belmont Ave, Suite 1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Ryan C Turk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Tiffany Lynn Loughran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Ms. Donna Elaine Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-3679 |