Staci A Martin (NPI# 1144556697, PAC ID# 8123166097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1144556697 |
| PAC ID by PECOS | 8123166097 |
| Professional Enrollment ID | I20091113000162 |
| Full Name | Staci A Martin |
| Organization Legal Name | OHIO ANESTHESIA GROUP, INC |
| Address |
659 Boulevard St Dover OH 44622-2077 |
| Phone Number | 3303433311 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9537222138 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360010 | UNION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1320 Mercy Nwdr, Canton, OH 44708-2624 | 33048911112248 | OHIO ANESTHESIA GROUP, INC |
| 659 Boulevard St, Dover, OH 44622-2077 | 3303433311 | OHIO ANESTHESIA GROUP, INC |
| Organization Legal Name | OHIO ANESTHESIA GROUP, INC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Nesbitt | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 4889 Munson Nwst, Canton, OH 44718-3614 |
| Sarah Gomez | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 1320 Mercy Nwdr, Canton, OH 44708-2624 |
| Michele D Moneypenny | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 15345 E Bagley Rd, Middleburg Heights, OH 44130-4825 |
| David M Sfeir | Anesthesiology | Ohio Anesthesia Group, Inc | 19250 E Bagley Rd, Middleburg Heights, OH 44130-3347 |
| Amanda G Weaver | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 1320 Mercy Nwdr, Canton, OH 44708-2624 |
| Robert Lynn Ward | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 1320 Mercy Nwdr, Canton, OH 44708-2624 |
| Lois R Milosevic | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 1320 Mercy Nwdr, Canton, OH 44708-2624 |
| Scott R Fuller | Anesthesiology | Ohio Anesthesia Group, Inc | 1320 Mercy Nwdr, Canton, OH 44708-2624 |
| Janice P Golden | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 1320 Mercy Nwdr, Canton, OH 44708-2624 |
| Kelli J Linn | Certified Registered Nurse Anesthetist (crna) | Ohio Anesthesia Group, Inc | 1320 Mercy Nwdr, Canton, OH 44708-2624 |
| Street Address |
659 BOULEVARD ST |
| City | DOVER |
| State | OH |
| Zip | 44622-2077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley C Pace | Pathology | Community Pathologists Inc | 659 Boulevard St, Dover, OH 44622-2026 |
| Lydia Louise Knapp | Nurse Practitioner | Union Physician Services LLC | 659 Boulevard St, Dover, OH 44622-2077 |
| Wayne D Gross | Cardiovascular Disease (cardiology) | The Union Hospital Association | 659 Boulevard St, Dover, OH 44622-2077 |
| Michele D Fleak | Internal Medicine | The Union Hospital Association | 659 Boulevard St, Dover, OH 44622-2077 |
| Jacob Werkin | General Surgery | Union Physician Services LLC | 659 Boulevard St, Dover, OH 44622-2077 |
| Samantha R Quillen | Nurse Practitioner | The Union Hospital Association | 659 Boulevard St, Dover, OH 44622-2077 |
| Michael M Mccombs | Internal Medicine | The Union Hospital Association | 659 Boulevard St, Dover, OH 44622-2077 |
| Jacob N Fox | Anesthesiology | Ohio Anesthesia Group, Inc | 659 Boulevard St, Dover, OH 44622-2077 |
| Zackary Ostin Byrd | Orthopedic Surgery | Union Physician Services LLC | 659 Boulevard St, Dover, OH 44622-2077 |
| Matthew Holland Voll | Emergency Medicine | The Union Hospital Association | 659 Boulevard St, Dover, OH 44622-2077 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Kapper | Chiropractic | 1716 N Cross St, Dover, OH 44622-1043 | |
| Laura Ann Young | Chiropractic | 922 Race St, Dover, OH 44622-1636 | |
| Keith E Snow | Anesthesiology | Barrett Pain Associates, Inc | 320 Oxford St, Dover, OH 44622-1963 |
| Daniel J Clemens Sr. | Ophthalmology | 340 Oxford St, Suite 340, Dover, OH 44622-1966 | |
| David Mark Hartman | Otolaryngology | Ent Allergy and Sinus Center, Inc. | 335 Oxford St, Suite A, Dover, OH 44622-1970 |
| Justin J Gherian | Qualified Audiologist | Ent Allergy and Sinus Center, Inc. | 335 Oxford St, Suite A, Dover, OH 44622-1970 |
| Sumayya Ahmed | Internal Medicine | Internal Medicine Clinic, Ltd | 335 Oxford St, Suite C, Dover, OH 44622-1970 |
| Angela R Hissner | Qualified Audiologist | Ent Allergy and Sinus Center, Inc. | 335 Oxford St, Suite A, Dover, OH 44622-1970 |
| Mackenzi E Ramus | Physician Assistant | Ent Allergy and Sinus Center, Inc. | 335 Oxford St, Suite A, Dover, OH 44622-1970 |
| Melissa Mutschelknaus | Nurse Practitioner | Barrett Pain Associates, Inc | 659 Boulevard St, Dover, OH 44622-2026 |
| Find all physicians in zip 44622 | |||
| City | DOVER |
| Zip Code | 44622 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | DOVER + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Staci A Martin.
| 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.