| Sharon M Hubbard, CRNA | |
|
642 W Hospital Rd, Paoli, IN 47454-9672 | |
| (812) 723-2811 | |
| Not Available |
| Full Name | Sharon M Hubbard |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 642 W Hospital Rd, Paoli, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053308106 | NPI | - | NPPES |
| 2783438000 | Other | KY | PASSPORT ADVANTAGE |
| 000000283663 | Other | KY | BLUE SHIELD |
| 200515430 | Medicaid | IN | |
| 50012803 | Other | KY | PASSPORT |
| 7100110280 | Medicaid | KY | |
| 163460034 | Other | IN | MEDICARE |
| 430079779 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3003872 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28101953A (Indiana) | Primary |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Environ Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831438092 PECOS PAC ID: 3870717754 Enrollment ID: O20140616001501 |
| Entity Name | Anesthesia Health Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336528926 PECOS PAC ID: 4688977218 Enrollment ID: O20160114001985 |
| Entity Name | Pain Management Centers Of America Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20190205002506 |
| Entity Name | Providian Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821654666 PECOS PAC ID: 2264765791 Enrollment ID: O20190614000874 |
| Entity Name | Ema Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104102268 PECOS PAC ID: 7911174552 Enrollment ID: O20191213001786 |
| Entity Name | Jones Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316579667 PECOS PAC ID: 6608207485 Enrollment ID: O20200511003185 |
| Entity Name | Deaconess Union County Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003481201 PECOS PAC ID: 5799189866 Enrollment ID: O20210811002781 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon M Hubbard, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Sharon M Hubbard, CRNA 642 W Hospital Rd, Paoli, IN 47454-9672 Ph: (812) 723-2811 |
Lawrence M Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7464 | |
Franklin R Frazier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-2811 | |
Angela M Higgs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7453 Fax: 812-723-7500 | |
Chad Richard Contri, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7453 Fax: 812-723-7500 |