Paul F Krupa-wilson, AA | |
410 W 10th Ave, Columbus, OH 43210-1240 | |
(614) 293-8387 | |
(614) 293-8153 |
Full Name | Paul F Krupa-wilson |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 410 W 10th Ave, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528341328 | NPI | - | NPPES |
PENDING | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA102 (Florida) | Secondary |
367H00000X | Anesthesiologist Assistant | 67000285 (Ohio) | Primary |
Entity Name | Osu Health System Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174581185 PECOS PAC ID: 8426959214 Enrollment ID: O20040115000490 |
Entity Name | Osu Observation Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407095052 PECOS PAC ID: 3375692270 Enrollment ID: O20090526000354 |
Mailing Address | Practice Location Address |
---|---|
Paul F Krupa-wilson, AA 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8487 | Paul F Krupa-wilson, AA 410 W 10th Ave, Columbus, OH 43210-1240 Ph: (614) 293-8387 |
Gregory Bickley, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, N411 Doan, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Malarvizhi Natesan, MS AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 410 West Tenth Ave, N429 Doan Hall, Columbus, OH 43210 Phone: 614-293-4705 Fax: 614-293-8153 | |
Brett P Siemon, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 Kenny Rd, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Jamie Heighington, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 Kenny Rd, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Ashley Dellimuti, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Chad C Lanphear, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 Kenny Rd, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Alexandr Richard Bokatch, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8000 |