Shannon M Kidd, CRNA | |
401 Matthew St, Marietta, OH 45750-1635 | |
(740) 374-9990 | |
(740) 374-9993 |
Full Name | Shannon M Kidd |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 401 Matthew St, Marietta, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508048737 | NPI | - | NPPES |
2937764 | Medicaid | OH | |
000000666683 | Other | OH | ANTHEM |
000000662146 | Other | OH | ANTHEM |
3810014829 | Medicaid | WV | |
P01058722 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 60137 (West Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | COA.11504.NA (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Medical Center | Kettering, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sandusky Anesthesia Llc | 3274895271 | 113 |
360 Anesthesia Pllc | 5991184863 | 114 |
Entity Name | Anesthesia Associates Of Cincinnati, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
Entity Name | Ogi Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962776807 PECOS PAC ID: 8224290598 Enrollment ID: O20120502000531 |
Entity Name | Dayton Anesthesia & Pain Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
Entity Name | Cgi Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174914352 PECOS PAC ID: 0840518411 Enrollment ID: O20150410000268 |
Entity Name | Sandusky Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
Entity Name | Columbus One Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528560646 PECOS PAC ID: 3971853631 Enrollment ID: O20180830002123 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
Entity Name | Buckeye Anesthesia Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124641022 PECOS PAC ID: 5890115141 Enrollment ID: O20201026002803 |
Mailing Address | Practice Location Address |
---|---|
Shannon M Kidd, CRNA 2139 Auburn Ave, Cincinnati, OH 45219-2906 Ph: (740) 374-4500 | Shannon M Kidd, CRNA 401 Matthew St, Marietta, OH 45750-1635 Ph: (740) 374-9990 |
John Lyle Darnell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940 | |
Crystal M Hopper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940 | |
Lori Lee Lehman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940 | |
Mildred Marie Harriman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-374-1580 Fax: 740-376-1940 | |
William F Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-9990 Fax: 740-376-9993 | |
Ms. Ashley Joy Galadyna, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-568-5427 Fax: 740-376-5073 | |
Martha J Willhide, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940 |