| Robert M Thall, AA | |
|
18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | |
| (440) 816-6246 | |
| (440) 816-6263 |
| Full Name | Robert M Thall |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 27 Years |
| Location | 18697 Bagley Rd, Middleburg Heights, Ohio |
| 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 |
|---|---|---|---|
| 1346273257 | NPI | - | NPPES |
| 2277469 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67000059 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest General Medical Group Inc | 8527964550 | 208 |
| Entity Name | Southwest General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M Thall, AA 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-6246 | Robert M Thall, AA 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-6246 |
Roy H Haber Jr., A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Oksana Farro, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Mrs. Mary L Spencer, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Alyssa Cole, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 | |
Christine M. Moore, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Parker Leduc, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 |