| Ryan Shane Tighe, | |
|
11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | |
| (260) 425-6030 | |
| (260) 425-6028 |
| Full Name | Ryan Shane Tighe |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366952095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000312 (Ohio) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 75000153A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| University Of Toledo Medical Center | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A4 Of Ohio Llc | 3971837188 | 31 |
| University Of Toledo Physicians Llc | 8729983416 | 365 |
| Parkview Health System Inc | 2163336967 | 1196 |
| Entity Name | University Of Toledo Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
| 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 | A4 Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255996567 PECOS PAC ID: 3971837188 Enrollment ID: O20190621001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Shane Tighe, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Ryan Shane Tighe, 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 Ph: (260) 425-6030 |
Jenna Gloria Gardner, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 | |
Carter Filchak, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Mrs. Kendra Elizabeth Dempsey, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3810 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Yazan Adhami, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Ryan Alexander Crouch, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Mark D Schamber, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Sebah Abdulaziz, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 |