Thomas J Maulorico, CRNA | |
18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | |
(440) 816-6246 | |
(440) 816-6263 |
Full Name | Thomas J Maulorico |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 18697 Bagley Rd, Middleburg Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336183342 | NPI | - | NPPES |
0987071 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN - 212067 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA.13154 (Ohio) | Primary |
Entity Name | Southwest General Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
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 |
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Thomas J Maulorico, CRNA 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-6246 | Thomas J Maulorico, CRNA 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-6246 |
Stephanie Siverd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Mr. Oleg Golota, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Ms. Andrea Novak, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6246 | |
Ms. Kathleen E Gibbons, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15345 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-743-8400 Fax: 440-743-8401 | |
Brandi Hanchosky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Emily Havens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 |