Jenna Staikoff, AA | |
1320 Mercy Dr Nw, Canton, OH 44708-2641 | |
(330) 489-1000 | |
Not Available |
Full Name | Jenna Staikoff |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 1320 Mercy Dr Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386267573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67.000373 (Ohio) | Primary |
Entity Name | Ohio Anesthesia Group, Inc |
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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 |
---|---|
Jenna Staikoff, AA 5409 Oakes Rd, Brecksville, OH 44141-2624 Ph: (440) 465-1726 | Jenna Staikoff, AA 1320 Mercy Dr Nw, Canton, OH 44708-2641 Ph: (330) 489-1000 |
Jonathan S Eberlein, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4665 Douglas Cir Nw Ste 100, Canton, OH 44718 Phone: 330-499-5700 | |
Mark Tatum, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Colleen R Robson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111 | |
Olesya Rabosyuk, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-498-1000 | |
Benjamin W. Falkenberg, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718 Phone: 330-656-3100 | |
Mrs. Leeann Jensen, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 |