Ryan Daniel Hickey, | |
1320 Mercy Dr Nw, Canton, OH 44708-2614 | |
(330) 489-1000 | |
Not Available |
Full Name | Ryan Daniel Hickey |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1320 Mercy Dr Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316550189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN.428775 (Ohio) | Primary |
Entity Name | Ohio Anesthesia Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Ryan Daniel Hickey, 3860 Arlind Cir Nw, Uniontown, OH 44685-6319 Ph: (330) 495-4734 | Ryan Daniel Hickey, 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000 |
Sarah Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, Canton, OH 44718 Phone: 330-499-5700 | |
Roxie Lee Rush, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 | |
Mr. Kevin White, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 | |
Amanda G Gillis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, #100, Canton, OH 44718 Phone: 330-499-5700 Fax: 330-498-4229 | |
Arlene Ann Weeber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 | |
Sheree Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 | |
Lois R Milosevic, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111 |