| Majid Nasir Siddiqi, | |
|
808 Flying Sun Dr, Avon, IN 46123-9848 | |
| (317) 658-6406 | |
| Not Available |
| Full Name | Majid Nasir Siddiqi |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 808 Flying Sun Dr, Avon, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114615374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.028872 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Medical Center | Joliet, IL | Hospital |
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 431 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | North American Partners in Anesthesia Illinois LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Northstar Anesthesia of Illinois, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Majid Nasir Siddiqi, 808 Flying Sun Dr, Avon, IN 46123-9848 Ph: Not Available | Majid Nasir Siddiqi, 808 Flying Sun Dr, Avon, IN 46123-9848 Ph: (317) 658-6406 |
Tanner J Hulin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-4200 |
Casey N Randolph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-9503 |
Steven G Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-4200 |