| Mr Roger Dean Hooten, CRNA | |
|
1564 Kingsley Ave, Orange Park, FL 32073-4521 | |
| (904) 264-0400 | |
| (904) 264-0401 |
| Full Name | Mr Roger Dean Hooten |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1564 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972577278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN050925 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP 3307912 (Florida) | Primary |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roger Dean Hooten, CRNA 7855 Argyle Forest Blvd Ste 101, Jacksonville, FL 32244-5597 Ph: (904) 282-6331 | Mr Roger Dean Hooten, CRNA 1564 Kingsley Ave, Orange Park, FL 32073-4521 Ph: (904) 264-0400 |
Mr. Robert David Lafrance Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Natallia Michailovna Baldev, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1670 Eagle Harbor Pkwy, #b, Orange Park, FL 32003 Phone: 904-644-0700 Fax: 904-644-0759 | |
Mr. Darrel Anthony Kalinski, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1665 Kingsley Ave, Ste 105, Orange Park, FL 32073 Phone: 904-276-5400 | |
Joshua Ray Taylor, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Kaitlin Elizabeth Pfeiffer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-577-6096 | |
Russell Lee Burney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Julie Ann Corey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5400 Fax: 904-276-5430 |