MR. ANTONIO M LICATA (NPI# 1033197694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033197694 |
| Entity Type | Individual |
| Full Name | MR. ANTONIO M LICATA |
| Credential | D.O. |
| Practice Address |
1 Wyoming St 3 Fl / Anes. Dept Dayton OH 45409 |
| Mailing Address |
P.o. Box 632317 Cincinnati OH 45263-2317 |
| Practice Telephone | 9372084380 |
| Practice Fax Number | 9372083843 |
| Mailing Telephone | 9372084380 |
| Mailing Fax Number | 9372083843 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 34.00512 | OH | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 34005132 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0932138 | 05 |
| Street Address |
1 WYOMING ST 3 FL / ANES. DEPT |
| City | DAYTON |
| State | OH |
| Zip Code | 45409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134180 | Christopher Scott Croom | Obstetrics & Gynecology | 1 Wyoming St, Berry Bldg, Ground Fl, Dayton, OH 45409-2722 | 2005-06-16 |
| 1902412133 | Dustin Logan Warne | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-22 |
| 1356956965 | Yeri Noh | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-10 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1386257046 | Daryl Brown | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-08-24 |
| 1518578624 | Mary Goeller | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-12 |
| 1033720545 | Emily Newport | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-10 |
| 1447869433 | David Mark Peters Jr. | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-27 |
| 1376151787 | Zachary Sahadak | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
| 1093323339 | Mckenzie Shenk | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353510 | Asc Anesthesia, LLC | Anesthesiology | 7211 N Main St Ste 2, Dayton, OH 45415-2560 | 2020-10-12 |
| 1699013409 | Parimal K Nandy | Anesthesiology | 1931 Arbor Walk, Dayton, OH 45459-3465 | 2013-01-29 |
| 1598022477 | Tomulyss Moody | Anesthesiology | 526 W David Pkwy, Dayton, OH 45429 | 2012-04-18 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1962518019 | Lita R Budiamal | Anesthesiology | 1 Elizabeth Pl Ste D, Dayton, OH 45408-1445 | 2006-08-22 |
| 1770699829 | Jeffrey S Rogers | Anesthesiology | 4160 Little York Road, Suite 10, Dayton, OH 45414-5803 | 2006-08-22 |
| 1629096946 | Janet M. Torpy | Anesthesiology | One Children's Plaza Dayton Children's Hospital, Childrens Anesthesia Group, Inc., Dayton, OH 45404-1815 | 2006-07-17 |
| 1295795284 | Nadeem Ahmed | Anesthesiology | 425 W Grand Ave Ste 1006, Dayton, OH 45405-4722 | 2006-03-24 |
| 1689645095 | Gary E Takahashi | Anesthesiology | 3180 Kettering Blvd, Dayton, OH 45439-1924 | 2006-02-01 |
| 1215908918 | Revonna Joy Smith | Anesthesiology | 3180 Kettering Blvd.1141 N Monroe Drive, Dayton, OH 45439-1924 | 2006-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.