Adele Roda, CRNA | |
501 6th Ave S, St Petersburg, FL 33701-4634 | |
(727) 767-3583 | |
(614) 722-4203 |
Full Name | Adele Roda |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 501 6th Ave S, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487217139 | NPI | - | NPPES |
0354293 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.019915 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11017013 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Entity Name | Pediatric Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
Entity Name | American Anesthesiology Services Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
Mailing Address | Practice Location Address |
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Adele Roda, CRNA 700 Childrens Dr, Columbus, OH 43205-2664 Ph: () - | Adele Roda, CRNA 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (727) 767-3583 |
Jeanne Hardin-gres, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 Phone: 727-456-3288 Fax: 727-456-3289 | |
Katherine Lisa Khokhar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-828-3218 Fax: 727-828-0723 | |
Ms. Gloria Jr Fain, CBC CNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1311 Asturia Way South, St Petersburg, FL 33705 Phone: 727-866-7403 Fax: 727-866-9495 | |
William James Quatman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3637 4th St N, Suite 400, St Petersburg, FL 33704 Phone: 727-823-1234 | |
Erik Scott Rauch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-2188 Fax: 727-823-9502 | |
Candice Queen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 | |
Lauren Elizabeth Pylant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 |