Brooks D Tyre (NPI# 1164769683, PAC ID# 6204081441) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1164769683 |
| PAC ID by PECOS | 6204081441 |
| Professional Enrollment ID | I20130219000463 |
| Full Name | Brooks D Tyre |
| Organization Legal Name | KETTERING ANESTHESIA ASSOCIATES, INC |
| Address |
835 Sweitzer St Greenville OH 45331-1007 |
| Phone Number | 9375481141 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 0648170365 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360079 | KETTERING MEDICAL CENTER |
| 360360 | SOIN MEDICAL CENTER |
| 360044 | WAYNE HEALTHCARE |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| Address | Phone | Organization |
|---|---|---|
| 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 | 9377024000 | KETTERING ANESTHESIA ASSOCIATES, INC |
| 835 Sweitzer St, Greenville, OH 45331-1007 | 9375481141 | KETTERING ANESTHESIA ASSOCIATES, INC |
| 3535 Southern Blvd, Kettering, OH 45429-1221 | 9372984331 | KETTERING ANESTHESIA ASSOCIATES, INC |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 9372990099 | KETTERING ANESTHESIA ASSOCIATES, INC |
| Organization Legal Name | KETTERING ANESTHESIA ASSOCIATES, INC |
| Physicians | 132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Crawford | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Alissa M Geise | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 915 Michigan St, Sidney, OH 45365-2401 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Bradley A. Wisler | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Scott H Adkisson | Anesthesiology | Kettering Anesthesia Associates, Inc | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 |
| Christopher A Murray | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Patrick S Bendel | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| David Lyle Tibbits | Anesthesiology | Kettering Anesthesia Associates, Inc | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 |
| David M Brouhard | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Vicki Dursch | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Street Address |
835 SWEITZER ST |
| City | GREENVILLE |
| State | OH |
| Zip | 45331-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Crawford | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kara S Schultz | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kenneth A Tyre Jr. | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Patrick Karr | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Andrew James Wourms | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Cassandra Patrick | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Stephen R Henderschedt | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Marian Owolabi | Nurse Practitioner | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Randall R Ralston | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Peter W Lachiewicz | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian W Wesche | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kiran Afshan | Internal Medicine | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Alisha D Reiss | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Timothy D Kathman | Internal Medicine | 835 Sweitzer St, Greenville, OH 45331-1007 | |
| Ezechukwu Ozuzumma Umeh | Internal Medicine | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| John A Dutro | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Karry L Clapper | Nurse Practitioner | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Chane Chalou | Nurse Practitioner | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Jennifer R Canan | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kollipara Rajsheker | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Find all physicians in zip 45331 | |||
| City | GREENVILLE |
| Zip Code | 45331 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | GREENVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST |
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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.