| Paulo Henrique Martins Drogueti, | |
|
8338 Wilson Crest Way, West Jordan, UT 84081 | |
| (801) 918-1876 | |
| Not Available |
| Full Name | Paulo Henrique Martins Drogueti |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8338 Wilson Crest Way, West Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710707252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 10197706-3102 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP61655838 (Washington) | Primary |
| Entity Name | Oregon Anesthesiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20031226000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Paulo Henrique Martins Drogueti, 8338 Wilson Crest Way, West Jordan, UT 84081 Ph: (801) 918-1876 | Paulo Henrique Martins Drogueti, 8338 Wilson Crest Way, West Jordan, UT 84081 Ph: (801) 918-1876 |
Casey Mckay Tanner, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-601-2393 Fax: 801-601-2258 | |
James Harned, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-993-9527 | |
Jessica Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Max H Shurtliff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3580 W 9000 S, West Jordan, UT 84070 Phone: 801-993-9527 Fax: 801-733-5872 | |
Brandon Michael Allen, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Brady Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 509-217-0698 |