Cori Bruce (NPI# 1194176008, PAC ID# 0143509091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY ASSISTANT.
| Nation Provider ID (NPI) | 1194176008 |
| PAC ID by PECOS | 0143509091 |
| Professional Enrollment ID | I20190812003264 |
| Full Name | Cori Bruce |
| Organization Legal Name | A4 OF OHIO LLC |
| Address |
5959 Monclova Rd Maumee OH 43537-1888 |
| Phone Number | 4198935911 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | ANESTHESIOLOGY ASSISTANT |
| Group Practice PAC ID | 3971837188 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360090 | ST LUKE'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5959 Monclova Rd, Maumee, OH 43537-1888 | 4198935911 | A4 OF OHIO LLC |
| Organization Legal Name | A4 OF OHIO LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia Ajja | Certified Registered Nurse Anesthetist (crna) | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| Erin Elizabeth Chormanski | Anesthesiology Assistant | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| Gloria Chaffin | Anesthesiology Assistant | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| John Gower | Anesthesiology Assistant | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| Street Address |
5959 MONCLOVA RD |
| City | MAUMEE |
| State | OH |
| Zip | 43537-1888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia Ajja | Certified Registered Nurse Anesthetist (crna) | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| Erin Elizabeth Chormanski | Anesthesiology Assistant | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| Gloria Chaffin | Anesthesiology Assistant | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| John Gower | Anesthesiology Assistant | A4 of Ohio LLC | 5959 Monclova Rd, Maumee, OH 43537-1888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy F Wynkoop | Psychologist, Clinical | Po Box, Suite 332, Maumee, OH 43537-0332 | |
| David E Muck | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Luke Amodeo | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Jane A Broering-ammons | Psychiatry | 1627 Henthorne Dr B, Maumee, OH 43537-1370 | |
| Wade L Banker | Interventional Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | |
| Hany J Jacob | Critical Care (intensivists) | 1661 Holland Rd, Suite 300, Maumee, OH 43537-1659 | |
| Rebecca M Burgoon | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Heather L Paulus | Optometry | 1657 Holland Rd, Suite D, Maumee, OH 43537-1661 | |
| Belinda A Heywood | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Erin E Hill | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Find all physicians in zip 43537 | |||
| City | MAUMEE |
| Zip Code | 43537 |
| Specialty | ANESTHESIOLOGY ASSISTANT |
| City + Specialty | MAUMEE + ANESTHESIOLOGY ASSISTANT |
Please comment or provide details below to improve the information on Cori Bruce.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.