Lauren Giometti Imhoff, CRNA | |
1 Childrens Plz, Dayton, OH 45404-1873 | |
(937) 641-3000 | |
Not Available |
Full Name | Lauren Giometti Imhoff |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Childrens Plz, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417279753 | NPI | - | NPPES |
APRN.CRNA.12788 | Other | OH | BOARD OF NURSING |
RN175876 | Other | GA | GA NURSING AND CRNA LICENSE |
0071684 | Medicaid | OH | |
APN.0993120-CRNA | Other | CO | COLORADO BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN175876 (Georgia) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA.12788 (Ohio) | Secondary |
Entity Name | Tift Regional Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Rg Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235553421 PECOS PAC ID: 1052543287 Enrollment ID: O20140422001220 |
Mailing Address | Practice Location Address |
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Lauren Giometti Imhoff, CRNA Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Lauren Giometti Imhoff, CRNA 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3000 |
Kathy Waymire, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 800-394-4445 | |
Mr. Robert S Sheeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-4380 Fax: 937-208-3843 | |
Cody Dalton Plapp, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Sarah Blesch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3200 | |
Mr. Thomas B Hellman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Trey Overla, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3200 | |
Jason Neal Ratliff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-276-8316 Fax: 937-567-4163 |