Jason Daniel Rodriguez, DO | |
1 Childrens Plz, Dayton, OH 45404-1873 | |
(937) 641-3600 | |
(937) 641-5802 |
Full Name | Jason Daniel Rodriguez |
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Gender | Male |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 1 Childrens Plz, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417417817 | NPI | - | NPPES |
0372773 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 34.016345 (Ohio) | Primary |
207L00000X | Anesthesiology | 34.016345 (Ohio) | Secondary |
Entity Name | Dayton Anesthesia & Pain Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
Mailing Address | Practice Location Address |
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Jason Daniel Rodriguez, DO Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Jason Daniel Rodriguez, DO 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3600 |
Sumiko S Sarle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mr. Antonio M Licata, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, 3 Fl / Anes. Dept, Dayton, OH 45409 Phone: 937-208-4380 Fax: 937-208-3843 | |
Joseph Mulcare, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Dr. Roberta Elizabeth Galford, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1997 Miamisburg Centerville Rd, Dayton, OH 45459 Phone: 937-401-6220 | |
Dr. Thomas James Fritz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mark Chambers, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, 3rd Floor, Anesthesia Dept, Dayton, OH 45409 Phone: 937-208-2627 | |
Nancy Kwon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, 3rd Fl, Anes. Dept., Attn: Barb, Dayton, OH 45409 Phone: 937-208-4380 |