Dr Oren Costantini, DO | |
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
(859) 301-2000 | |
(859) 341-7867 |
Full Name | Dr Oren Costantini |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356838676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 05571 (Kentucky) | Primary |
207LC0200X | Anesthesiology - Critical Care Medicine | 05571 (Kentucky) | Secondary |
Entity Name | Anesthesia Group Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398 |
Mailing Address | Practice Location Address |
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Dr Oren Costantini, DO Po Box 632572, Cincinnati, OH 45263-2572 Ph: (859) 341-2666 | Dr Oren Costantini, DO 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 301-2000 |
Raymond James Sullivan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Independent Anesthesiologists. Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
David Zangrando, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 849-341-7246 Fax: 859-341-7867 | |
Timothy Dale Dickinson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Marian Jeanne Gorham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Richard Gerard Oliver, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-641-7867 | |
Steven Peter Noll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 |