| Staci Dawn Martin, CRNA | |
|
2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 | |
| (330) 363-7462 | |
| (330) 363-7679 |
| Full Name | Staci Dawn Martin |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 2600 Sixth Street Sw, Canton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386694669 | NPI | - | NPPES |
| 2630666 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.08483 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wooster Community Hospital | Wooster, OH | Hospital |
| Alliance Community Hospital | Alliance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohio Anesthesia Group, Inc | 9537222138 | 130 |
| The Gastroenterology Clinic And Endoscopy Center Inc | 3274429477 | 36 |
| Bel-park Anesthesia Associates, Inc. | 8628974904 | 158 |
| Wooster Pain And Anesthesia Center Llc | 1557500782 | 10 |
| Anesthesia Services Inc. | 3971971060 | 3 |
| Entity Name | Southwest Ohio Anesthesia Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| Entity Name | The Gastroenterology Clinic & Endoscopy Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952497117 PECOS PAC ID: 3274429477 Enrollment ID: O20040225000211 |
| Entity Name | Ohio Hospital-based Physicians Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891727079 PECOS PAC ID: 9133019110 Enrollment ID: O20040316000515 |
| Entity Name | C S Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912923343 PECOS PAC ID: 3678583549 Enrollment ID: O20060424000178 |
| Entity Name | Health Professionals of Holmes County, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083897060 PECOS PAC ID: 6002916194 Enrollment ID: O20070702000432 |
| 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 | Northstar Anesthesia of Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
| Entity Name | Wooster Pain and Anesthesia Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616947 PECOS PAC ID: 1557500782 Enrollment ID: O20130620000172 |
| Entity Name | Premier Anesthesia of Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
| Entity Name | Aultman Deuble Heart & Vascular Hospital, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306495718 PECOS PAC ID: 1850726126 Enrollment ID: O20200114002347 |
| Entity Name | Anesthesia Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679290019 PECOS PAC ID: 3971971060 Enrollment ID: O20221121002734 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci Dawn Martin, CRNA 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Ph: (330) 363-7462 | Staci Dawn Martin, CRNA 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Ph: (330) 363-7462 |
Sarah Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, Canton, OH 44718 Phone: 330-499-5700 |
Roxie Lee Rush, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 |
Mr. Kevin White, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 |
Amanda G Gillis, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 |
Arlene Ann Weeber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 |
Sheree Boyle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 |
Lois R Milosevic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111 |