Cory Nathan Criss, MD | |
700 Childrens Dr, Columbus, OH 43205-2664 | |
(614) 722-2000 | |
Not Available |
Full Name | Cory Nathan Criss |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 700 Childrens Dr, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346583630 | NPI | - | NPPES |
0490186 | Medicaid | OH | |
H916900 | Other | OH | CGS - MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 35.145352 (Ohio) | Primary |
Entity Name | Children's Surgical Associates, Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417905324 PECOS PAC ID: 1254328511 Enrollment ID: O20040428000888 |
Entity Name | Northwest Pediatric Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
Mailing Address | Practice Location Address |
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Cory Nathan Criss, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Cory Nathan Criss, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 |
Sebastian Vincent Demyttenaere, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214 Phone: 614-293-3230 Fax: 614-293-4030 | |
Dr. Robert Michael Dorman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Ccpr, Columbus, OH 43205 Phone: 614-722-0449 Fax: 614-355-6229 | |
Priya Harakh Dedhia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2050 Kenny Rd, Columbus, OH 43221 Phone: 614-293-7171 Fax: 614-293-3465 | |
Dr. Lauren Audrey Licata, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-2101 Fax: 614-293-9155 | |
Dr. Lindsay Olivia-lee Stepp, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1581 Dodd Dr Fl 1, Columbus, OH 43210 Phone: 614-293-2101 Fax: 614-293-9155 | |
Dr. Michael Ryan Douglas Farrell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 E Main St Ste 220, Columbus, OH 43215 Phone: 614-544-9670 Fax: 614-544-9671 | |
Patricia S Choban, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Carmel Mall, Suite 380, Columbus, OH 43222 Phone: 614-228-0768 Fax: 614-545-2997 |