| Robert Weaver, CRNA | |
|
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5000 | |
| (740) 441-8058 |
| Full Name | Robert Weaver |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750022554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020806 (Ohio) | Primary |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Weaver, CRNA 90 Jackson Pike, Gallipolis, OH 45631-1562 Ph: (740) 446-5000 | Robert Weaver, CRNA 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5000 |
Eugenia Kay Mccoy, CRNA, DMPNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
Stephen S. Henry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-441-8058 | |
Mr. David L. Reymond, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 | |
Angelia Dawn Slack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5227 Fax: 740-441-8058 | |
Clifford E. Queen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 | |
Susan Kay Fox-kuhner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-8058 | |
Claudia Marie Lyon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 |