| Ms Kathleen E Gibbons, CRNA | |
|
15345 Bagley Rd, Middleburg Heights, OH 44130-4825 | |
| (440) 743-8400 | |
| (440) 743-8401 |
| Full Name | Ms Kathleen E Gibbons |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 41 Years |
| Location | 15345 Bagley Rd, Middleburg Heights, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174524235 | NPI | - | NPPES |
| 0769440 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 166540 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Northern Ohio Eye Consultants, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386752558 PECOS PAC ID: 3577537810 Enrollment ID: O20040823001362 |
| 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 | Northern Ohio Eye Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508964370 PECOS PAC ID: 7012056781 Enrollment ID: O20100511000261 |
| Entity Name | North Shore Anesthesia Limited, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730460205 PECOS PAC ID: 1759554074 Enrollment ID: O20120130000886 |
| Entity Name | Uh North Ridgeville Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1396213294 PECOS PAC ID: 5890032494 Enrollment ID: O20190118002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen E Gibbons, CRNA Po Box 567, Chagrin Falls, OH 44022-0567 Ph: (216) 464-5160 | Ms Kathleen E Gibbons, CRNA 15345 Bagley Rd, Middleburg Heights, OH 44130-4825 Ph: (440) 743-8400 |
Stephanie Siverd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Mr. Oleg Golota, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Ms. Andrea Novak, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6246 | |
Thomas J Maulorico, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Brandi Hanchosky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Emily Havens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 |