Mr Joshua Bootz, | |
101 S Moore Ave, Claremore, OK 74017-5047 | |
(918) 342-6200 | |
Not Available |
Full Name | Mr Joshua Bootz |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 101 S Moore Ave, Claremore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821496829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704220624 (Michigan) | Primary |
Entity Name | Covenant Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225151897 PECOS PAC ID: 2769387778 Enrollment ID: O20040209001142 |
Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
Entity Name | Ascension St. Mary's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306185 PECOS PAC ID: 6305737156 Enrollment ID: O20040322001854 |
Entity Name | Asa Staffing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
Mailing Address | Practice Location Address |
---|---|
Mr Joshua Bootz, 6160 Fox Glen Dr, Apt 190, Saginaw, MI 48638-4307 Ph: (507) 269-6020 | Mr Joshua Bootz, 101 S Moore Ave, Claremore, OK 74017-5047 Ph: (918) 342-6200 |
Kim M Schorer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 17561 E 450 Rd, Claremore, OK 74017 Phone: 509-393-3708 | |
Richard B Freeborn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-341-2556 Fax: 918-342-7850 | |
Tina L Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-392-4456 Fax: 918-392-4465 | |
Mr. Dominick P Palmisano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-392-4456 Fax: 918-392-4465 | |
Mrs. Lavonna K Sanders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-341-2556 Fax: 918-342-2304 | |
Melissa Morris White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-341-2556 |