Constance R Moore, CRNA | |
410 West Tenth Avenue, N429 Doan Hall, Columbus, OH 43210 | |
(614) 293-4705 | |
(614) 293-8153 |
Full Name | Constance R Moore |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 410 West Tenth Avenue, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295791895 | NPI | - | NPPES |
0891656 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NA00310 (Ohio) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | RN226895 (Ohio) | Secondary |
Entity Name | Osu Health System Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174581185 PECOS PAC ID: 8426959214 Enrollment ID: O20040115000490 |
Entity Name | Ophthalmic Anesthesia Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023069515 PECOS PAC ID: 4385627470 Enrollment ID: O20040610000143 |
Entity Name | Osu Observation Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407095052 PECOS PAC ID: 3375692270 Enrollment ID: O20090526000354 |
Mailing Address | Practice Location Address |
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Constance R Moore, CRNA 660 Ackerman 3rd Floor, Po Box 183103, Columbus, OH 43216-3103 Ph: (614) 293-2150 | Constance R Moore, CRNA 410 West Tenth Avenue, N429 Doan Hall, Columbus, OH 43210 Ph: (614) 293-4705 |
Ronee D Trussel, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220 Phone: 614-457-2306 Fax: 614-884-0776 | |
Rachel Marie Ashworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 | |
Tony Tre Lybarger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Grant Ave Fl 3, Columbus, OH 43215 Phone: 614-566-9871 | |
Mary Carol F Shurman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Gina M. Reno, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, N416 Doan Hall, Columbus, OH 43210 Phone: 614-293-4705 | |
Alyson F. Kuhn, APRN.CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Lisa Christine Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-4919 |