Myra F Mardis (NPI# 1164430062, PAC ID# 6305890419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1164430062 |
| PAC ID by PECOS | 6305890419 |
| Professional Enrollment ID | I20160210001751 |
| Full Name | Myra F Mardis |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC |
| Address |
1099 Medical Ctr Circle Mayfield KY 42066-1143 |
| Phone Number | 2702514100 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8628248069 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180038 | OWENSBORO HEALTH REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 | 2702514100 | NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC |
| 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2704172000 | NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Blankendaal | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Carla Ann Atherton | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Steven Hallman | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Lillian Silva | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Joseph K Hampton | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Lisa A Scheller | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Daniel A Ogaz | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Loman Collin Trover | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Rauf Murtaza | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Michael Rudolph | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Street Address |
1099 MEDICAL CTR CIRCLE |
| City | MAYFIELD |
| State | KY |
| Zip | 42066-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Ann Atherton | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Lillian Silva | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Daniel A Ogaz | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Rauf Murtaza | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Jonathan Embry | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Mary Theresa Lancaster | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Larry D Corn Jr. | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Robert R Loughran | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Paul A Garner | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Lisa M Gammenthaler | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Laframboise | Physical Therapy | Atlas Physical Therapy LLC | 1413 Us Hwy 45, Mayfield, KY 42066 |
| Mary Edge | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Daniel Wade Crowley | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Austin B Elliott | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Louis G Forte | Emergency Medicine | Southeastern Emergency Physicians LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Amanda Massey | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Robert Masse | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Teena R Patty | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Rakesh Chandra | Psychiatry | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 | |
| Christopher L Poor | Emergency Medicine | Southeastern Emergency Physicians LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Find all physicians in zip 42066 | |||
| City | MAYFIELD |
| Zip Code | 42066 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MAYFIELD + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Myra F Mardis.
| 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.