| Theodore H Nicol, CRNA | |
|
500 S Cleveland Ave, Westerville, OH 43081-8971 | |
| (614) 898-6659 | |
| (614) 898-8631 |
| Full Name | Theodore H Nicol |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 500 S Cleveland Ave, Westerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730181371 | NPI | - | NPPES |
| 430040270 | Other | OH | RAILROAD MEDICARE |
| 0690999 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.01738-NA (Ohio) | Primary |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
| Entity Name | Rural Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437108164 PECOS PAC ID: 1456380450 Enrollment ID: O20050810000570 |
| Entity Name | South Central Ohio Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700100419 PECOS PAC ID: 3678604493 Enrollment ID: O20100623000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore H Nicol, CRNA P O Box 711052, Cincinnati, OH 45271-0001 Ph: (614) 457-8180 | Theodore H Nicol, CRNA 500 S Cleveland Ave, Westerville, OH 43081-8971 Ph: (614) 898-6659 |
Bridget Belo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 540 N Cleveland Ave Ste 100, Westerville, OH 43082 Phone: 614-895-3333 | |
Janelle Hideg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Cleveland Ave, St. Ann's Hospital Anesthesia Dept, Westerville, OH 43081 Phone: 614-898-6659 Fax: 614-898-8631 | |
Ms. Gertrude Helfrich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Cleveland Ave, St. Ann's Hospital Anesthesia Dept, Westerville, OH 43081 Phone: 614-898-6659 Fax: 614-898-8631 | |
Henry Mcguire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Cleveland Ave, Coa-credentialing, Westerville, OH 43081 Phone: 614-898-6659 Fax: 614-898-8631 | |
Donald G Wiliams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 S Cleveland Ave, Westerville, OH 43081 Phone: 614-898-6659 Fax: 614-898-8631 | |
Michael A Tarpoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Cleveland Ave, Westerville, OH 43081 Phone: 614-898-6659 Fax: 614-898-8631 | |
Dana M Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Cleveland Ave, Anesthesiology Dept @ St. Anns, Westerville, OH 43081 Phone: 614-898-6659 Fax: 614-898-8631 |