Alan Leroy Prok, MD | |
4619 Kenny Rd, Columbus, OH 43220-2779 | |
(614) 457-8180 | |
Not Available |
Full Name | Alan Leroy Prok |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 24 Years |
Location | 4619 Kenny Rd, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255380630 | NPI | - | NPPES |
2670917 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35085538 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Atrium Medical Center | Franklin, OH | Hospital |
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Pathologists, Inc | 7214821289 | 12 |
Entity Name | Valley Pathologists, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992798854 PECOS PAC ID: 7214821289 Enrollment ID: O20040211000025 |
Entity Name | Cytology Associates Of Dayton, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518950476 PECOS PAC ID: 1658265632 Enrollment ID: O20040211000046 |
Entity Name | Challa Ajit Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629142815 PECOS PAC ID: 7012916232 Enrollment ID: O20061215000148 |
Mailing Address | Practice Location Address |
---|---|
Alan Leroy Prok, MD 1 Wyoming St, Dayton, OH 45409-2722 Ph: () - | Alan Leroy Prok, MD 4619 Kenny Rd, Columbus, OH 43220-2779 Ph: (614) 457-8180 |
Nicholas T Wongchaowart, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Dr. Andres Gustavo Madrigal, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2001 Polaris Pkwy, Columbus, OH 43240 Phone: 614-366-7015 Fax: 614-293-7013 | |
Dr. Leo Anthony Niemeier, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept - Corpath, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Aharon Gideon Freud, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-292-5905 Fax: 614-293-4715 | |
Dr. Wegahta Tesfay Weldemichael, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 | |
Dr. Allen Green Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 500 Thomas Ln Ste 3a, Columbus, OH 43214 Phone: 843-331-8330 | |
Dr. Iouri Ivanov, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 |