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Tina Louise Perebzak

  • Female

Medical Specialty

Professional ID

  • NPI: 1528064631
  • PECOS ID: 3476445628
  • Enrollment ID: I20040325000244
  • Credential(MD, DO, DPM): CNA
  • Medical School:
  • Medical School Graduation Year: 2001

Hospital Service

  • Hospital CCN1: 360151
  • Business Name (LBN)1: Affinity Medical Center

Medical Practices

  • Organization Name: Northstar Anesthesia Of Ohio Llc
  • Group Practice ID assigned by PECOS: 3173648300
  • Number of Group Practice member: 333

Location

  • Address1: 2615 E High St
  • Address2:
  • City: Springfield
  • State: Ohio
  • Zip Code: 45505
  • Phone Number: (937)523-1000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):