Steven Wayne Bohr, CRNA | |
2512 Arbor Mist Trl, Hixson, TN 37343-4537 | |
(423) 875-6500 | |
Not Available |
Full Name | Steven Wayne Bohr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2512 Arbor Mist Trl, Hixson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891732954 | NPI | - | NPPES |
000789478C | Medicaid | GA | |
000789478D | Medicaid | GA | |
P00211515 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | RN142861 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 9156 (Tennessee) | Primary |
Entity Name | Ahp Of East Tennessee Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972777845 PECOS PAC ID: 0244395929 Enrollment ID: O20090212000219 |
Entity Name | Foothills Anesthesia Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285873380 PECOS PAC ID: 9335296466 Enrollment ID: O20090407000500 |
Entity Name | Knoxville Gastroenterology Anesthesia Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356717227 PECOS PAC ID: 8325357155 Enrollment ID: O20151019001298 |
Entity Name | Anesthesia Dynamics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
Mailing Address | Practice Location Address |
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Steven Wayne Bohr, CRNA 2512 Arbor Mist Trl, Hixson, TN 37343-4537 Ph: (423) 875-6500 | Steven Wayne Bohr, CRNA 2512 Arbor Mist Trl, Hixson, TN 37343-4537 Ph: (423) 875-6500 |