| Bkc Pain Specialists Llc. | |
|
1065 Delaware Ave Suite A Marion OH 43302-6461 | |
| (740) 387-7246 | |
| (740) 387-7244 |
| Full Name | Bkc Pain Specialists Llc. |
|---|---|
| Speciality | Anesthesiology |
| Location | 1065 Delaware Ave, Marion, Ohio |
| Authorized Official Name and Position | Adil Katabay (PHYSICIAN) |
| Authorized Official Contact | 7403877246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bkc Pain Specialists Llc. 1065 Delaware Ave Suite A Marion OH 43302-6461 Ph: (740) 387-7246 | Bkc Pain Specialists Llc. 1065 Delaware Ave Suite A Marion OH 43302-6461 Ph: (740) 387-7246 |
| NPI Number | 1326360082 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 8224166996 |
|---|---|
| Medicare Enrollment ID | O20100517000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326360082 | NPI | - | NPPES |
| Provider Name | Cynthia M Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568479053 PECOS PAC ID: 1153314869 Enrollment ID: I20040407001093 |
| Provider Name | Adil O Katabay |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1346204039 PECOS PAC ID: 7012901622 Enrollment ID: I20040414001024 |
| Provider Name | Debra A Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285711887 PECOS PAC ID: 8022007194 Enrollment ID: I20040512000674 |
| Provider Name | Jennifer Thelma Minton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649240672 PECOS PAC ID: 7810958402 Enrollment ID: I20041027000017 |
| Provider Name | Kathryn S Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417031733 PECOS PAC ID: 5799723474 Enrollment ID: I20050422000342 |
| Provider Name | Lori Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407877111 PECOS PAC ID: 1850482076 Enrollment ID: I20070802000239 |
| Provider Name | Chad E Dyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568467124 PECOS PAC ID: 7911800859 Enrollment ID: I20100317000039 |
| Provider Name | Jennifer L Datta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083676969 PECOS PAC ID: 1254315971 Enrollment ID: I20110119000713 |
| Provider Name | Gerald E Marsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831233691 PECOS PAC ID: 6608052535 Enrollment ID: I20110511000012 |
| Provider Name | Michael Mwasumbi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306832514 PECOS PAC ID: 6901858521 Enrollment ID: I20120718000136 |
| Provider Name | Mounir Sanhaji |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417038324 PECOS PAC ID: 7517102197 Enrollment ID: I20150527000427 |
| Provider Name | Ashley N Persinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225586332 PECOS PAC ID: 2961777909 Enrollment ID: I20171002002006 |
| Provider Name | Ashley Annette Thames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982177739 PECOS PAC ID: 3274876727 Enrollment ID: I20190523002663 |
| Provider Name | Peyton Bree Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770138208 PECOS PAC ID: 3779908488 Enrollment ID: I20200728003982 |
| Provider Name | Heather Kay Sheline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487249777 PECOS PAC ID: 4688083348 Enrollment ID: I20210510001007 |
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