| Mr Ketan R Shah, CRNA | |
|
3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 | |
| (757) 399-7451 | |
| (757) 399-1158 |
| Full Name | Mr Ketan R Shah |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 3200 Tyre Neck Rd, Portsmouth, Virginia |
| 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 |
|---|---|---|---|
| 1922390210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9431447 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024169375 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Raulerson Hospital | Okeechobee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sheridan Healthcorp Inc | 3173429693 | 849 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Jupiter Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
| Entity Name | St Lucie Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700044252 PECOS PAC ID: 4284792706 Enrollment ID: O20081027000765 |
| Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ketan R Shah, CRNA 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 Ph: (757) 399-7451 | Mr Ketan R Shah, CRNA 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 Ph: (757) 399-7451 |
Meredith Tverdosi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3238 | |
Kristen Evette Brown, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200 | |
Dr. Randall Barlow, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23703 Phone: 910-382-9550 | |
Adam Richard Robles, CRNA, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5008 | |
Mr. Mark James Brownfield, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3238 | |
Mr. Robert Joseph Hawkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3197 | |
Mr. Edward Joseph Hanrahan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3216 |