Kevin Matthew Tirado Roman, | |
2301 Edwin Rd, Durham, NC 27710-0001 | |
(919) 684-8111 | |
Not Available |
Full Name | Kevin Matthew Tirado Roman |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 2301 Edwin Rd, Durham, North Carolina |
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 |
---|---|---|---|
1710461694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 124099 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Duke University Hospital | Durham, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Duke University Health System Inc | 2567372345 | 852 |
Entity Name | Duke University Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
Entity Name | Granville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275638512 PECOS PAC ID: 1052223757 Enrollment ID: O20040301000909 |
Entity Name | Nash Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003881822 PECOS PAC ID: 4284521568 Enrollment ID: O20040416000486 |
Entity Name | Raleigh Medical Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104962315 PECOS PAC ID: 6800874322 Enrollment ID: O20040712000418 |
Mailing Address | Practice Location Address |
---|---|
Kevin Matthew Tirado Roman, 504 E Pettigrew St Apt 249, Durham, NC 27701-4467 Ph: () - | Kevin Matthew Tirado Roman, 2301 Edwin Rd, Durham, NC 27710-0001 Ph: (919) 684-8111 |
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Derrick Cephano Glymph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
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