| Zachary Dodd, | |
|
2000 Ogden Ave, Aurora, IL 60504-5893 | |
| (630) 978-6200 | |
| Not Available |
| Full Name | Zachary Dodd |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2000 Ogden Ave, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366015166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 166303 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209027840 (Illinois) | Primary |
| Entity Name | Guardian Anesthesia Associates, S.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326097221 PECOS PAC ID: 3870494347 Enrollment ID: O20040116000932 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Dodd, 4624 Fesseneva Ct, Naperville, IL 60564-5835 Ph: (630) 364-0997 | Zachary Dodd, 2000 Ogden Ave, Aurora, IL 60504-5893 Ph: (630) 978-6200 |
Florian Walter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Ogden Ave, Rush Copley Memorial Hospital, Aurora, IL 60504 Phone: 630-978-6200 | |
Ms. Ginger T. Guinther, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Ogden Ave, Aurora, IL 60504 Phone: 630-978-4860 | |
John Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Provena Mercy Medical Center, 1325 N. Highland Ave., Aurora, IL 60506 Phone: 630-859-2222 | |
Mr. Segun Sadique Shonibare, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 N Highland Ave, Anesthesia Dept, Aurora, IL 60506 Phone: 630-859-2222 | |
Barbara J Partida, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Ogden Ave, Aurora, IL 60504 Phone: 630-978-6200 | |
Mrs. Meredith P Davis, MS, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Ogden Ave, Aurora, IL 60504 Phone: 630-978-6200 | |
Ms. Carolyn E. Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Ogden Ave, Aurora, IL 60504 Phone: 630-948-4860 |