David Markus Goodrich, CRNA | |
1218 N Main St, Pueblo, CO 81003-2828 | |
(719) 543-7877 | |
(719) 543-7882 |
Full Name | David Markus Goodrich |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1218 N Main St, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902989544 | NPI | - | NPPES |
3636921 | Medicaid | TN | |
4137595 | Other | TN | BCBS OF TN |
P00371821 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APN12279 (Tennessee) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | RN99907 (Tennessee) | Secondary |
Entity Name | Anesthesia & Pain Management Services Of Pueblo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639255409 PECOS PAC ID: 2961301783 Enrollment ID: O20031231000222 |
Entity Name | Parkview Ancillary Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
Mailing Address | Practice Location Address |
---|---|
David Markus Goodrich, CRNA 1218 N Main St, Pueblo, CO 81003-2828 Ph: (719) 543-7877 | David Markus Goodrich, CRNA 1218 N Main St, Pueblo, CO 81003-2828 Ph: (719) 543-7877 |
Lara Kjurston Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Malena Calle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-7305 | |
Michael R. Herron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-560-5717 | |
Elizabeth Dias Morphis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Mr. James Guzan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003 Phone: 330-442-3547 | |
Mr. Kristopher A. Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004 Phone: 719-557-3824 Fax: 719-557-3834 | |
Timothy Floyd, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 |