Antonio M Licata
ANESTHESIOLOGY SERVICES NETWORK LTD


Address: 1 Wyoming St, Dayton, OH 45409-2722
Phone: 9372086173

Antonio M Licata (NPI# 1033197694, PAC ID# 5193761880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360051 MIAMI VALLEY HOSPITAL

Other Locations

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 Information

Organization Legal Name ANESTHESIOLOGY SERVICES NETWORK LTD
Physicians 129

Physicians with the same organization

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

Office Location

Street Address 1 WYOMING ST
City DAYTON
State OH
Zip 45409-2722

Physicians in the same location

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
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Physicians in the same zip code

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
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Competitor

Search similar physicians

City DAYTON
Zip Code 45409
Specialty ANESTHESIOLOGY
City + Specialty DAYTON + ANESTHESIOLOGY

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Dataset Information

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.

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