| Robert Daniel Nicholas Iii, CRNA | |
|
1781 Stoneman Dr, Suisun City, CA 94585-3218 | |
| (678) 699-1559 | |
| Not Available |
| Full Name | Robert Daniel Nicholas Iii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 1781 Stoneman Dr, Suisun City, California |
| 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 |
|---|---|---|---|
| 1366012361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN225769 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95002292 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Medical Center | Modesto, CA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Green Anesthesia | 6103270566 | 16 |
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Perimeter Anesthesia Llc | 2567763048 | 14 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Parish Anesthesia Of California A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790106862 PECOS PAC ID: 0244463925 Enrollment ID: O20140503000084 |
| Entity Name | Advanced Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Entity Name | Green Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457039331 PECOS PAC ID: 6103270566 Enrollment ID: O20231004000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Daniel Nicholas Iii, CRNA 1781 Stoneman Dr, Suisun City, CA 94585-3218 Ph: (678) 699-1559 | Robert Daniel Nicholas Iii, CRNA 1781 Stoneman Dr, Suisun City, CA 94585-3218 Ph: (678) 699-1559 |