KEVIN WAYNE BUSDIECKER


Address: 2500 Metro Health Drive, Cleveland, OH 44109
Phone: 2167785790

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 67-000036 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

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

Office Location

Street Address 2500 METRO HEALTH DRIVE
City CLEVELAND
State OH
Zip Code 44109

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CLEVELAND
Zip Code 44109

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Dataset Information

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.

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