Dr Brian Paul Radesic, CRNA, DNP | |
7007 Powers Blvd, Parma, OH 44129-5437 | |
(440) 743-3000 | |
Not Available |
Full Name | Dr Brian Paul Radesic |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 7007 Powers Blvd, Parma, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508959834 | NPI | - | NPPES |
2604506 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | APRN.CRNA.00960 (Ohio) | Primary |
Entity Name | University Primary Care Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | Anesthesia Associates Pll |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801823182 PECOS PAC ID: 5395648679 Enrollment ID: O20040202000866 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Paul Radesic, CRNA, DNP 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 Ph: (440) 350-0832 | Dr Brian Paul Radesic, CRNA, DNP 7007 Powers Blvd, Parma, OH 44129-5437 Ph: (440) 743-3000 |
Nada Tayeh, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7831 Hickory Hill Ln, Parma, OH 44130 Phone: 216-376-9098 | |
Doug A Marsh, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7007 Powers Blvd, Parma, OH 44129 Phone: 440-350-0832 Fax: 440-354-7420 | |
Jacob K Rasanow, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7007 Powers Blvd, Parma, OH 44129 Phone: 440-350-0832 Fax: 440-579-0191 | |
James George Davis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4902 Wellington Ave, Parma, OH 44134 Phone: 440-884-1801 | |
Jenna Marie Mcintosh, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7007 Powers Blvd, Parma, OH 44129 Phone: 440-350-0832 Fax: 440-354-7420 |