| Tiffany Etta Porter, CRNA | |
|
68377 Stewart Dr Ste 202, Saint Clairsville, OH 43950-1718 | |
| (740) 699-2747 | |
| Not Available |
| Full Name | Tiffany Etta Porter |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 68377 Stewart Dr Ste 202, Saint Clairsville, 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 |
|---|---|---|---|
| 1386725703 | NPI | - | NPPES |
| H207804 | Other | OH | MEDICARE PTAN |
| 2603432000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 06655 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnesville Hospital Association, Inc | Barnesville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wheeling Hospital Ambulatory Surgery Center Llc | 8123354743 | 22 |
| Barnesville Hospital Association, Inc. | 9335134592 | 13 |
| Entity Name | Barnesville Hospital Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235135450 PECOS PAC ID: 9335134592 Enrollment ID: O20040416001212 |
| Entity Name | Harrison Community Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134151137 PECOS PAC ID: 3173511540 Enrollment ID: O20040504000997 |
| Entity Name | Digestive Health Complex,inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1417118241 PECOS PAC ID: 8123171196 Enrollment ID: O20090810000097 |
| Entity Name | Ve Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982906079 PECOS PAC ID: 8325220569 Enrollment ID: O20110310000003 |
| Entity Name | Precision Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174950984 PECOS PAC ID: 2961639281 Enrollment ID: O20131212000862 |
| Entity Name | Wheeling Hospital Ambulatory Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851949465 PECOS PAC ID: 8123354743 Enrollment ID: O20200127001530 |
| Entity Name | East Ohio Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508480930 PECOS PAC ID: 6305260753 Enrollment ID: O20200720000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Etta Porter, CRNA 90 N 4th St, Martins Ferry, OH 43935-1648 Ph: (740) 633-1100 | Tiffany Etta Porter, CRNA 68377 Stewart Dr Ste 202, Saint Clairsville, OH 43950-1718 Ph: (740) 699-2747 |
Ms. Vivian C. Adamowicz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 68377 Stewart Dr Ste 202, Saint Clairsville, OH 43950 Phone: 740-699-2747 |