| Mr Christopher Reedy, CRNA | |
|
195 Wadsworth Rd, Wadsworth, OH 44281-9504 | |
| (330) 334-2863 | |
| Not Available |
| Full Name | Mr Christopher Reedy |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 35 Years |
| Location | 195 Wadsworth Rd, Wadsworth, Ohio |
| 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 |
|---|---|---|---|
| 1639162803 | NPI | - | NPPES |
| 0798623 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRNCRNA01483 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 01483-NA (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Licking Memorial Hospital | Newark, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Licking Memorial Professional Corporation | 6204740731 | 218 |
| Surgery Center Of Sandusky Llc | 6901807957 | 2 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | Licking Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
| Entity Name | Surgery Center Of Sandusky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891883096 PECOS PAC ID: 6901807957 Enrollment ID: O20070118000339 |
| Entity Name | Northern Ohio Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265675847 PECOS PAC ID: 2163574310 Enrollment ID: O20090720000001 |
| Entity Name | Northstar Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
| Entity Name | Premier Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
| Entity Name | Malabar Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922497940 PECOS PAC ID: 9234440561 Enrollment ID: O20150612001359 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Reedy, CRNA Po Box 367, Mogadore, OH 44260-0367 Ph: (330) 628-1325 | Mr Christopher Reedy, CRNA 195 Wadsworth Rd, Wadsworth, OH 44281-9504 Ph: (330) 334-2863 |
Nancy I Wise, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 195 Wadsworth Rd., Wadsworth, OH 44312 Phone: 330-208-2720 Fax: 330-208-2721 |