Kevin Wayne Busdiecker in Cleveland - Anesthesiologist Assistant

Kevin Wayne Busdiecker - NPI 1528073004

Kevin Wayne Busdiecker is a Anesthesiologist Assistant in Cleveland, Ohio. Kevin Wayne Busdiecker practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Kevin Wayne Busdiecker is 1528073004. The last update date is 2009-09-21.

Kevin Wayne Busdiecker's current location address is 2500 Metro Health Drive, Cleveland, Ohio. You can contact this provider via phone number 2167785790. The mailing address for Kevin Wayne Busdiecker is 2500 Metro Health Drive, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Wayne Busdiecker
Address 2500 Metro Health Drive, Cleveland, Ohio
Phone Number 2167785790
Fax Number
Sole Proprietor N
Credentials AA

NPI Number Detail

NPI Number 1528073004
Provider Enumeration Date 2006-07-31
Last Updated Date 2009-09-21

Provider Mailing Address Detail

Address 2500 Metro Health Drive
City Cleveland
State Ohio (OH)
Post Code 44109
Phone Number 2167785790
Fax Number

Provider's Primary Taxonomy Detail

Speciality Anesthesiologist Assistant
Taxonomy 367H00000X
Licence No 67-000036
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 anesth

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
414955 OH WELLCARE MEDICAID
232158 OH UNISON
583328 OH BCMH
9724074 OH AETNA
515962 OH ANTHEM
430037559 OH RAILROAD MEDICARE
2739264 OH --

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FAQs about Kevin Wayne Busdiecker

What is the unique provider identifier assigned to Kevin Wayne Busdiecker?

The Kevin Wayne Busdiecker has been issued the NPI (National Provider Identifier) 1528073004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Kevin Wayne Busdiecker is located?

The Kevin Wayne Busdiecker is situated at the following address: 2500 Metro Health Drive, Cleveland, OH, 44109.

What is Kevin Wayne Busdiecker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kevin Wayne Busdiecker is Anesthesiologist Assistant, and the taxonomy code that classifies this field of practice is 367H00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1528073004 to Kevin Wayne Busdiecker?

The Centers for Medicare & Medicaid Services assigned the 1528073004 to Kevin Wayne Busdiecker on 2006-07-31.

When was the information pertaining to Kevin Wayne Busdiecker most recently updated or revised?

The details related to Kevin Wayne Busdiecker, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-21.

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