Edward Gradman, | |
430 N Monte Vista St, Ada, OK 74820-4610 | |
(580) 332-2323 | |
Not Available |
Full Name | Edward Gradman |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 430 N Monte Vista St, Ada, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366830432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041368366 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209012356 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Associated Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Entity Name | Crawford Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
Entity Name | Cgh Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20040928000513 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164474755 PECOS PAC ID: 1355259714 Enrollment ID: O20070924000481 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Ias Illinois Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876 |
Mailing Address | Practice Location Address |
---|---|
Edward Gradman, 1710 W 3rd St Ste 100, Elk City, OK 73644-5160 Ph: (703) 295-9360 | Edward Gradman, 430 N Monte Vista St, Ada, OK 74820-4610 Ph: (580) 332-2323 |
Edgardo Fabery Zeno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 430 N Monte Vista St, Ada, OK 74820 Phone: 580-332-2323 | |
Johnny J Sacco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Tina S Johnston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Mr. Mark E. Bucher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Gerald Joseph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Carol Lynn Rhoads, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820 Phone: 580-421-6248 | |
Bill Larue Spencer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18626 County Road 1550, Ada, OK 74820 Phone: 580-436-0187 |