Edward E Hettinger (NPI# 1497885305, PAC ID# 3072502376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1497885305 |
| PAC ID by PECOS | 3072502376 |
| Professional Enrollment ID | I20091005000287 |
| Full Name | Edward E Hettinger |
| Organization Legal Name | GI ANESTHESIA, LLC |
| Address |
4340 Clyo Rd Suite 200 Dayton OH 45459-7000 |
| Phone Number | 93729344245154 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6002971553 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360076 | ATRIUM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 | 93729344245154 | GI ANESTHESIA, LLC |
| 1 Medical Ctr Dr, Middletown, OH 45005-2584 | 9372086173 | ANESTHESIOLOGY SERVICES NETWORK LTD |
| Organization Legal Name | GI ANESTHESIA, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nuvvuru C Reddy | Anesthesiology | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Shirley Savu | Certified Registered Nurse Anesthetist (crna) | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Scott Charles Rhodes | Certified Registered Nurse Anesthetist (crna) | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Ramagopala Avutu | Anesthesiology | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Sambit K Barua | Anesthesiology | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Street Address |
4340 CLYO RD SUITE 200 |
| City | DAYTON |
| State | OH |
| Zip | 45459-7000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nuvvuru C Reddy | Anesthesiology | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Shirley Savu | Certified Registered Nurse Anesthetist (crna) | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Scott Charles Rhodes | Certified Registered Nurse Anesthetist (crna) | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Ramagopala Avutu | Anesthesiology | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Salma Akram | Gastroenterology | Digestive Specialists Inc | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Sambit K Barua | Anesthesiology | Gi Anesthesia, LLC | 4340 Clyo Rd, Suite 200, Dayton, OH 45459-7000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Hirt | Family Medicine | Premier Integrated Medical Assoc Ltd | 6520 Acro Court, Centerville, OH 45459 |
| James R Ouellette | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Matthew P Doepker | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Leandra Gray | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Kamran A Jafree | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| John H Matsuura | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Murtuza H Habeeb | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Jessica R Wozniak | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Sharda Gupta | Pathology | 5895 Batsford Dr, Dayton, OH 45459-1456 | |
| Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | |
| Find all physicians in zip 45459 | |||
| City | DAYTON |
| Zip Code | 45459 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | DAYTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.