Mr Ronald Kyle Hodgen, CRNA | |
5700 Gateway Ste 100b, Mason, OH 45040-1890 | |
(513) 404-4529 | |
Not Available |
Full Name | Mr Ronald Kyle Hodgen |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5700 Gateway Ste 100b, Mason, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407939796 | NPI | - | NPPES |
0210912 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 9281942 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.019367 (Ohio) | Primary |
Entity Name | Resource Anesthesia Highlands Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508113903 PECOS PAC ID: 1759526544 Enrollment ID: O20130327000276 |
Entity Name | Imperial Enterprise Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295111318 PECOS PAC ID: 5799081238 Enrollment ID: O20160310000077 |
Mailing Address | Practice Location Address |
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Mr Ronald Kyle Hodgen, CRNA 5700 Gateway Ste 100b, Mason, OH 45040-1890 Ph: () - | Mr Ronald Kyle Hodgen, CRNA 5700 Gateway Ste 100b, Mason, OH 45040-1890 Ph: (513) 404-4529 |
Mr. John A Crenshaw, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4655 Manorlake Dr, Mason, OH 45040 Phone: 513-398-2198 | |
Brandi Dressler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5023 Sunset Ridge Dr, Mason, OH 45040 Phone: 513-617-5030 |