Leon V Chagolla Ii (NPI# 1831587617, PAC ID# 9830414580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1831587617 |
| PAC ID by PECOS | 9830414580 |
| Professional Enrollment ID | I20150220001880 |
| Full Name | Leon V Chagolla Ii |
| Organization Legal Name | NORTHERN ANESTHESIA PROVIDERS LLC |
| Address |
725 S Shoop Ave Wauseon OH 43567-1702 |
| Phone Number | 4193352015 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2567682073 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361333 | FULTON COUNTY HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 725 S Shoop Ave, Wauseon, OH 43567-1702 | 4193352015 | NORTHERN ANESTHESIA PROVIDERS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| QCDR_EC_ABG21_overall | Pre-operative OSA assessment | 100% |
| Organization Legal Name | NORTHERN ANESTHESIA PROVIDERS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Broc L Nichelson | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Justin M Sauder | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Jason L Sprow | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Christopher R Buehrer | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Charles Tabbert | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Street Address |
725 S SHOOP AVE |
| City | WAUSEON |
| State | OH |
| Zip | 43567-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy F Shannon | Clinical Social Worker | Fchc Medical Care, LLC | 725 S Shoop Ave, Wauseon, OH 43567-1701 |
| Laura A Murphy | Cardiovascular Disease (cardiology) | University of Toledo Physicians LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Rosemary A Fisher | Nurse Practitioner | Fchc Medical Care, LLC | 725 S Shoop Ave, Wauseon, OH 43567-1701 |
| Mujeeb A. Sheikh | Cardiovascular Disease (cardiology) | University of Toledo Physicians LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Michael J Pole | Diagnostic Radiology | 725 S Shoop Ave, Wauseon, OH 43567-1701 | |
| Broc L Nichelson | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Wendy B Brandan | Internal Medicine | Fchc Medical Care, LLC | 725 S Shoop Ave, Wauseon, OH 43567-1701 |
| Carol Krieger | Certified Clinical Nurse Specialist (cns) | 725 S Shoop Ave, Wauseon, OH 43567-1702 | |
| Justin M Sauder | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers LLC | 725 S Shoop Ave, Wauseon, OH 43567-1702 |
| Mary J Mangen | Psychiatry | Fchc Medical Care, LLC | 725 S Shoop Ave, Wauseon, OH 43567-1701 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy D Fruchey | Clinical Social Worker | 850 W Elm St, Wauseon, OH 43567-1189 | |
| Kevin Wheeler | Chiropractic | 601 Meadow Ln, Wauseon, OH 43567-1229 | |
| Patrick William Frank | Chiropractic | 601 Meadow Ln, Wauseon, OH 43567-1229 | |
| Melissa A Pifer | Family Medicine | Hagerman Family Physicians, Inc | 128 Depot St, Wauseon, OH 43567-1305 |
| Kimberly Loann Hagerman | Family Medicine | Hagerman Family Physicians, Inc | 128 Depot St, Wauseon, OH 43567-1305 |
| Shivaprasad K Shetty | Family Medicine | 137 S Fulton, Wauseon, OH 43567-1351 | |
| Nicole R Jackson | Nurse Practitioner | Maumee Valley Guidance Center Inc | 222 Depot St, Wauseon, OH 43567-1381 |
| Richard J Grieser | Family Medicine | Fchc Medical Care, LLC | 725 S Shoop Ave, Wauseon, OH 43567-1701 |
| David J Hammersmith | Clinical Social Worker | Fchc Medical Care, LLC | 725 S Shoop Ave, Wauseon, OH 43567-1701 |
| Glenda R Ferris | Clinical Social Worker | Fchc Medical Care, LLC | 725 S Shoop Ave, Wauseon, OH 43567-1701 |
| Find all physicians in zip 43567 | |||
| City | WAUSEON |
| Zip Code | 43567 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WAUSEON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Leon V Chagolla Ii.
| 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.