Dorian Raymone Tate
Dorian Raymone Tate is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Anesthesia Partners and Management LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Arizona and Indiana.
- Years since qualifying
- 6
- Licensed in
- AZ, IN
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
7950 W Jefferson BlvdFort Wayne, IN 46804-4140
Phone: (260) 435-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 258404 (AZ) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence PENDING (IN) |
Record details
| NPI number | 1831798354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 26, 2020 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
| Mailing address | 5437 Coventry Ln Apt 207, Fort Wayne, IN 46804-7177 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Anesthesia Partners And Management Llc — 158 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fort Wayne
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Annblythe Sheridan, CRNA
7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 · (260) 436-7875
-
Kimberly A Slattery, CRNA
5734 Coventry Ln, Fort Wayne, IN 46804-7141 · (260) 436-7875
-
Stephanie Marie Stein, CRNA
5734 Coventry Ln, Fort Wayne, IN 46804-7141 · (260) 436-7875
-
Kyle Rodney Stevens, CRNA
10315 Dawsons Creek Blvd Ste AB, Fort Wayne, IN 46825-1912 · (260) 436-7875
-
Kaitlyn Ann Telle, CRNA
5050 N Clinton St, Fort Wayne, IN 46825-5886 · (260) 484-8551
-
Mary Kathryn Thompson, CRNA
6435 W Jefferson Blvd # 434, Fort Wayne, IN 46804-6203 · (260) 436-7875
-
Lisa A Tompa, CRNA
5050 N Clinton St, Fort Wayne, IN 46825-5886 · (260) 484-8551
-
Blair John Walker, RN, CRNA
7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 · (260) 416-3000