Ira Woodruff Jr, CRNA | |
1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | |
(215) 710-2000 | |
Not Available |
Full Name | Ira Woodruff Jr |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1201 Langhorne Newtown Rd, Langhorne, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619695517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | RN664411 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN664411 (Pennsylvania) | Primary |
Entity Name | Northstar Anesthesia Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700218989 PECOS PAC ID: 5092941161 Enrollment ID: O20131119001358 |
Mailing Address | Practice Location Address |
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Ira Woodruff Jr, CRNA 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Ira Woodruff Jr, CRNA 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 Ph: (215) 710-2000 |
Maryellen Kraft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Langhorne Newtown Rd, Langhorne, PA 19047 Phone: 215-710-2196 Fax: 215-710-2408 | |
Alexander J Simkiw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 119 Flowers Ave, Langhorne, PA 19047 Phone: 267-304-8130 | |
Clarice Lunde, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1205 Langhorne Newtown Rd, Langhorne, PA 19047 Phone: 215-710-2196 Fax: 215-710-2408 | |
Linda M Mackleer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 246 Wheatsheaf Ln, Langhorne, PA 19047 Phone: 215-757-5594 | |
Megan Mcadams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Langhorne Newtown Rd, Langhorne, PA 19047 Phone: 215-710-2000 | |
Mr. Frank William Baker Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Newtown-langhorne Road, Langhorne, PA 19047 Phone: 215-710-2196 | |
James Mccallion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Langhorne Newtown Rd, Langhorne, PA 19047 Phone: 215-710-2196 Fax: 215-710-2408 |