| Ryan Mittwede, | |
|
1141 Hospital Dr Nw, Corydon, IN 47112-2164 | |
| (812) 738-4251 | |
| Not Available |
| Full Name | Ryan Mittwede |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 1141 Hospital Dr Nw, Corydon, Indiana |
| 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 |
|---|---|---|---|
| 1336680701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 117229 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Floyd | New albany, IN | Hospital |
| Harrison County Hospital | Corydon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
| Harrison County Hospital | 9032007208 | 45 |
| Entity Name | Harrison County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790892727 PECOS PAC ID: 9032007208 Enrollment ID: O20040406000076 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
| Entity Name | Providian Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821654666 PECOS PAC ID: 2264765791 Enrollment ID: O20210210002466 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Mittwede, 13508 Terrace Creek Drive, Apt 103, Louisville, KY 40245 Ph: (601) 291-3927 | Ryan Mittwede, 1141 Hospital Dr Nw, Corydon, IN 47112-2164 Ph: (812) 738-4251 |
Edwin R Stutzman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1141 Hospital Dr Nw, Corydon, IN 47112 Phone: 812-738-4251 | |
Robert Scott Wiltrout, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1141 Hospital Dr Nw, Corydon, IN 47112 Phone: 812-738-4251 | |
Jake Chris Chang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1141 Hospital Dr Nw, Corydon, IN 47112 Phone: 812-738-4251 |