Thomas J Andersen, MD | |
5901 Monclova Rd, Maumee, OH 43537-1855 | |
(419) 897-8370 | |
Not Available |
Full Name | Thomas J Andersen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 5901 Monclova Rd, Maumee, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114999380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35.059526 (Ohio) | Primary |
Entity Name | Southwest Anesthesia Services Psc, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188129 PECOS PAC ID: 3779483631 Enrollment ID: O20040109000000 |
Entity Name | Blanchard Valley Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179 |
Entity Name | Clinical Colleagues Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20070517000377 |
Entity Name | Adena Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Andersen, MD 7715 Big Bend Ct, Sylvania, OH 43560-4426 Ph: (419) 841-1134 | Thomas J Andersen, MD 5901 Monclova Rd, Maumee, OH 43537-1855 Ph: (419) 897-8370 |
Thomas W Gerken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
John L. Rust Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Patrick J. Schafer, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Samuel Agubosim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1574 Henthorne Dr, Suite C, Maumee, OH 43537 Phone: 419-794-1170 Fax: 419-794-1171 | |
Bashar N Jouma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Heart Center, Maumee, OH 43537 Phone: 419-893-5911 | |
Elizabeth Fowler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 |