| Mr Nicholas Mark Rodgers, CRNA | |
|
701 6th St S, St Petersburg, FL 33701-4814 | |
| (727) 823-2188 | |
| (727) 828-0723 |
| Full Name | Mr Nicholas Mark Rodgers |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 701 6th St S, St Petersburg, Florida |
| 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 |
|---|---|---|---|
| 1114366895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9282943 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspen Valley Hospital | Aspen, CO | Hospital |
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Aspen Anesthesia, Inc | 7113065970 | 15 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Aspen Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811042898 PECOS PAC ID: 7113065970 Enrollment ID: O20091216000271 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Entity Name | Novamed Surgery Center Of Denver Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639447154 PECOS PAC ID: 8022059823 Enrollment ID: O20120402000322 |
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Entity Name | Novamed Surgery Center Of Colorado Springs, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750794681 PECOS PAC ID: 5294625810 Enrollment ID: O20141006000615 |
| Entity Name | Cpr Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20150204000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Mark Rodgers, CRNA 12225 28th St N, Suite A, St Petersburg, FL 33716-1860 Ph: (727) 823-2188 | Mr Nicholas Mark Rodgers, CRNA 701 6th St S, St Petersburg, FL 33701-4814 Ph: (727) 823-2188 |
Jeanne Hardin-gres, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 Phone: 727-456-3288 Fax: 727-456-3289 | |
Katherine Lisa Khokhar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-828-3218 Fax: 727-828-0723 | |
Ms. Gloria Jr Fain, CBC CNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1311 Asturia Way South, St Petersburg, FL 33705 Phone: 727-866-7403 Fax: 727-866-9495 | |
William Quatman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3637 4th St N, Suite 400, St Petersburg, FL 33704 Phone: 727-823-1234 | |
Alexa Blake Hartnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 321-841-2335 | |
Erik Scott Rauch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-2188 Fax: 727-823-9502 | |
Candice Queen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 |