| Tyler Andrew Suddarth, | |
|
7700 W Sunrise Blvd, Plantation, FL 33322-4113 | |
| (954) 939-6852 | |
| Not Available |
| Full Name | Tyler Andrew Suddarth |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 7700 W Sunrise Blvd, Plantation, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629628896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9394983 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11005496 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Anesthesia Associates, Pc | 1759349830 | 26 |
| Entity Name | South Georgia Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285605733 PECOS PAC ID: 1759349830 Enrollment ID: O20041221000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Andrew Suddarth, 302 Midland Pl, Cairo, GA 39828-7604 Ph: (229) 300-4938 | Tyler Andrew Suddarth, 7700 W Sunrise Blvd, Plantation, FL 33322-4113 Ph: (954) 939-6852 |
Amanda Lackaye, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5409 | |
Yeisirenia Padron Rodriguez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Alexander Brigantty - Vazquez Sr., CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-6588 | |
Andrene Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Nw 42nd Ave, Plantation, FL 33317 Phone: 954-260-8293 | |
Mrs. Catherine Keyo, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5577 | |
Aloune Diana Chariot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Leiza Lee Norat Santiago, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-303-5508 |