KEVIN WAYNE BUSDIECKER (NPI# 1528073004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528073004 |
Entity Type | Individual |
Full Name | KEVIN WAYNE BUSDIECKER |
Credential | AA |
Practice Address |
2500 Metro Health Drive Cleveland OH 44109 |
Practice Telephone | 2167785790 |
Mailing Telephone | 2167785790 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2009-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | 67-000036 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | AETNA | 9724074 | 01 |
OH | ANTHEM | 000000515962 | 01 |
OH | RAILROAD MEDICARE | 430037559 | 01 |
OH | 2739264 | 05 | |
OH | WELLCARE MEDICAID | 414955 | 01 |
OH | UNISON | 000000232158 | 01 |
OH | BCMH | 0583328 | 01 |
Street Address |
2500 METRO HEALTH DRIVE |
City | CLEVELAND |
State | OH |
Zip Code | 44109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093179467 | Thomas Lynch | Student in an Organized Health Care Education/Training Program | 2500 Metro Health Drive, Anesthesia Dept, Cleveland, OH 44109 | 2016-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
Find all providers in zip 44109 |
Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
1902347123 | Eric Klinedinst | Anesthesiologist Assistant | 2126 Murray Hill Rd Apt 1, Cleveland, OH 44106-2339 | 2017-03-20 |
1376949198 | Amanda Price | Anesthesiologist Assistant | 5455 N Marginal Rd, Apt. 412, Cleveland, OH 44114-3937 | 2014-11-05 |
1770862500 | Colleen Dwight Traud | Anesthesiologist Assistant | 1730 W. 25th St, Cleveland, OH 44113 | 2011-08-10 |
1487278586 | Ashwinraj Amalraj | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-06-04 |
1285257154 | George William Patterson | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-05-26 |
1033769799 | Michael Marcotte | Anesthesiologist Assistant | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-09-16 |
1043862816 | Emilie Lanter | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-07-11 |
1659932960 | Jonathan Louis Rifici | Anesthesiologist Assistant | 5805 Euclid Ave, Cleveland, OH 44103-3715 | 2019-06-26 |
1902466626 | Brian Baker | Anesthesiologist Assistant | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-06-14 |
Find all providers in CLEVELAND |
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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.