| Mr Kevin T Groh, CRNA | |
|
659 Boulevard St, Dover, OH 44622-2026 | |
| (330) 602-0767 | |
| (330) 365-3831 |
| Full Name | Mr Kevin T Groh |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 659 Boulevard St, Dover, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851341788 | NPI | - | NPPES |
| 0754670 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.01744 (Ohio) | Primary |
| Entity Name | Dayton Gastroenterology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134345705 PECOS PAC ID: 9537064407 Enrollment ID: O20031204000041 |
| Entity Name | Anesthesia Care Of Union Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083688220 PECOS PAC ID: 0244124642 Enrollment ID: O20040209000281 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Entity Name | Wrh Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700025459 PECOS PAC ID: 0840342366 Enrollment ID: O20090714000789 |
| Entity Name | Western Ohio Sedation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649777699 PECOS PAC ID: 3779848684 Enrollment ID: O20180524001261 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin T Groh, CRNA 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 Ph: (330) 499-5700 | Mr Kevin T Groh, CRNA 659 Boulevard St, Dover, OH 44622-2026 Ph: (330) 602-0767 |
Robert L Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-602-0767 Fax: 330-365-3831 | |
Staci Ann Christner, C.R.N.A Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-602-0767 Fax: 330-365-3831 | |
Stacy A Lapish, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-602-0767 Fax: 330-365-3831 | |
Durrell Beachy, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-343-3311 | |
Brandy L Cooley-debolt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-602-0767 Fax: 330-365-3831 | |
Anne M Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-602-0767 Fax: 330-365-3831 |