| Mr Ronald Kyle Hodgen, CRNA | |
|
5700 Gateway Ste 100b, Mason, OH 45040-1890 | |
| (513) 404-4529 | |
| Not Available |
| Full Name | Mr Ronald Kyle Hodgen |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5700 Gateway Ste 100b, Mason, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407939796 | NPI | - | NPPES |
| 0210912 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9281942 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.019367 (Ohio) | Primary |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Entity Name | Florida Panhandle Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982241360 PECOS PAC ID: 0840625687 Enrollment ID: O20200124000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronald Kyle Hodgen, CRNA 5700 Gateway Ste 100b, Mason, OH 45040-1890 Ph: () - | Mr Ronald Kyle Hodgen, CRNA 5700 Gateway Ste 100b, Mason, OH 45040-1890 Ph: (513) 404-4529 |
Mr. John A Crenshaw, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4655 Manorlake Dr, Mason, OH 45040 Phone: 513-398-2198 | |
Brandi Dressler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5023 Sunset Ridge Dr, Mason, OH 45040 Phone: 513-617-5030 |