Antonio M Licata (NPI# 1033197694, PAC ID# 5193761880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1033197694 |
| PAC ID by PECOS | 5193761880 |
| Professional Enrollment ID | I20050705000206 |
| Full Name | Antonio M Licata |
| Organization Legal Name | ANESTHESIOLOGY SERVICES NETWORK LTD |
| Address |
1 Wyoming St Dayton OH 45409-2722 |
| Phone Number | 9372086173 |
| Gender | M |
| Credential | DO |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8820902794 |
| Number of Group Practice Members | 153 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2400 Miami Valley Dr, Centerville, OH 45459-4774 | 9372086173 | ANESTHESIOLOGY SERVICES NETWORK LTD |
| 1 Wyoming St, Dayton, OH 45409-2722 | 9372086173 | ANESTHESIOLOGY SERVICES NETWORK LTD |
| Organization Legal Name | ANESTHESIOLOGY SERVICES NETWORK LTD |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sumiko S Sarle | Anesthesiology | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Robert Sheeley | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Sammy S Loonkishu | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Michael Glenn Mcmannis | Anesthesiology | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Thomas J Fritz | Anesthesiology | Anesthesiology Services Network Ltd | 1 Medical Ctr Dr, Middletown, OH 45005-2584 |
| Mark J Chambers | Anesthesiology | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Kathie I Gengler | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 3130 N County Rd, 25a, Troy, OH 45373-1337 |
| Trenton Andrew Reed | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 3130 N County Rd, 25a, Troy, OH 45373-1337 |
| Ted Schweikert | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Havyn M Skorupan | Anesthesiology | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Street Address |
1 WYOMING ST |
| City | DAYTON |
| State | OH |
| Zip | 45409-2722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Pitstick | Emergency Medicine | Miami Valley Emergency Specialists, LLC | 1 Wyoming St, Dayton, OH 45409-2722 |
| Sumiko S Sarle | Anesthesiology | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Douglas Reynolds | Emergency Medicine | Miami Valley Emergency Specialists, LLC | 1 Wyoming St, Dayton, OH 45409-2722 |
| Robert Sheeley | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Sammy S Loonkishu | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Michael Glenn Mcmannis | Anesthesiology | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Mark J Chambers | Anesthesiology | Anesthesiology Services Network Ltd | 1 Wyoming St, Dayton, OH 45409-2722 |
| Josef Wenker | Diagnostic Radiology | Radiology Physicians Inc | 1 Wyoming St, Miami Valley Hospital, Dayton, OH 45409-2722 |
| Ketan S Shah | Hematology/oncology | Dayton Physicians LLC | 1 Wyoming St, Radiation Therapy Cancer Center, Dayton, OH 45409-2722 |
| Emily P Sorensen | Nurse Practitioner | Miami Valley Emergency Specialists, LLC | 1 Wyoming St, Dayton, OH 45409-2722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy R Milam | Psychologist, Clinical | 1250 W Dorothy Ln, Suite 208, Kettering, OH 45409-1313 | |
| Chris Steuerwald | Certified Registered Nurse Anesthetist | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Dayton, OH 45409-1323 |
| Karen Champion | Certified Registered Nurse Anesthetist | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Dayton, OH 45409-1323 |
| Julie A Schloemer | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Paul Gruber | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Martha A Hickmann | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Joseph W Mcgowan Iv | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Shannon Patrick Buck | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Gwyn E King | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Heidi Donnelly | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Find all physicians in zip 45409 | |||
| City | DAYTON |
| Zip Code | 45409 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | DAYTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Antonio M Licata.
| 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.