Walter Thomas Roschek Iii, | |
200 W Arbor Dr, San Diego, CA 92103-9000 | |
(800) 926-8273 | |
(888) 539-8781 |
Full Name | Walter Thomas Roschek Iii |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 200 W Arbor Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245911429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 95137458 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002215 (California) | Primary |
Entity Name | Community Foundation Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Entity Name | Regional Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811442874 PECOS PAC ID: 7810275096 Enrollment ID: O20161021001369 |
Entity Name | La Jolla Anesthesia Associates, Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649717737 PECOS PAC ID: 3678850567 Enrollment ID: O20170502001302 |
Mailing Address | Practice Location Address |
---|---|
Walter Thomas Roschek Iii, Po Box 232410, San Diego, CA 92193-2410 Ph: (800) 926-8273 | Walter Thomas Roschek Iii, 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |
Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183 | |
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Lena Grace Stephens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943 | |
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960 | |
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |