Thomas Bender, AA
Individual provider Active NPI Anesthesiologist Assistant · Painesville, OH
NPI 1003063728 · NPPES record last updated Sep 26, 2008
Key facts
- NPI
- 1003063728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 852 (OH)
- Practice address
- 40 W Erie St
Suite 203
Painesville, OH 44077-3274 - Phone
- (440) 350-0832
- Fax
- (440) 354-7420
- NPI assigned
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohio Anesthesia Group, Inc
Practice addresses (Care Compare)
1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8100
Hospital & facility affiliations
- Wooster Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.79 of 100
- Quality
- 71.01
- Improvement activities
- 40
- Cost
- 82.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171121002240 | OH | Practitioner - Anesthesiology Assistant | 9830254663 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Current |
Accepting new patients | |
| Bloomington Medical Services LLC | Current |
Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
3519 Friendsville Rd
Wooster, OH 44691
Phone (330) 345-7200
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 852 | OH | Yes |
Addresses
Primary practice location
40 W Erie St
Suite 203
Painesville, OH 44077-3274
Mailing address
40 W Erie St
Suite 203
Painesville, OH 44077-3274
Phone (440) 350-0832
Other providers in Painesville, OH
- Kayleigh Baumgartner
- Glenn Beck
- Ryan Beck
- Elizabeth Bena
- Maryann Bencin
- Marcia C Berezin
- Ronald Berke
- Maria Andrea Berti
- Lucille Ann Bertino
- Stacey Biddle
All providers in Painesville, OH · Anesthesiologist Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.