Ted J Ajax, MD | |
732 Lindsay Ln, Cody, WY 82414-4103 | |
(307) 587-2139 | |
Not Available |
Full Name | Ted J Ajax |
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Gender | Male |
Speciality | Anesthesiology |
Location | 732 Lindsay Ln, Cody, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922059500 | NPI | - | NPPES |
115651900 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 6488A (Wyoming) | Primary |
Entity Name | Wyoming Perioperative Anesthesia Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508119439 PECOS PAC ID: 0840433132 Enrollment ID: O20130905000971 |
Mailing Address | Practice Location Address |
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Ted J Ajax, MD Po Box 3451, Idaho Falls, ID 83403-3451 Ph: (208) 525-2090 | Ted J Ajax, MD 732 Lindsay Ln, Cody, WY 82414-4103 Ph: (307) 587-2139 |
Catherine C Schmidt, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-578-1923 Fax: 307-527-3357 | |
Tanya Dawn Schnell, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-587-2139 | |
Bradley Lee Low, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 720 Lindsay Ln, Suite C, Cody, WY 82414 Phone: 307-213-9713 Fax: 800-878-6476 | |
Harry B Cohen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 726 Allen Ave Ste B, Cody, WY 82414 Phone: 307-578-1860 Fax: 307-587-2364 |