Amy Indorf, MD | |
1320 Mercy Dr Nw, Canton, OH 44708-2614 | |
(330) 580-4706 | |
(330) 580-4707 |
Full Name | Amy Indorf |
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Gender | Female |
Speciality | Internal Medicine - Infectious Disease |
Location | 1320 Mercy Dr Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033295951 | NPI | - | NPPES |
1902827876 | Other | GROUP NPI | |
2157366 | Other | OH | GROUP MEDICAID |
0997131 | Medicaid | OH | |
9303389 | Other | OH | GROUP MEDICARE - MPCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 35057637I (Ohio) | Primary |
Entity Name | Mercy Professional Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827876 PECOS PAC ID: 7416857198 Enrollment ID: O20040109000676 |
Mailing Address | Practice Location Address |
---|---|
Amy Indorf, MD 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 580-4706 | Amy Indorf, MD 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 580-4706 |
Nishad Avinash Barve, Infectious Disease Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Todd L Johnson, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718 Phone: 330-489-1386 Fax: 330-489-1258 | |
John C Tsai, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718 Phone: 330-489-1386 Fax: 330-489-1258 | |
David Andrew Beard, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-363-2180 | |
Yara Khouri, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-6235 | |
Dr. Mitchell Haut, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708 Phone: 330-453-9993 Fax: 330-453-9996 | |
Ramana Podugu, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Suite A2-710, Canton, OH 44710 Phone: 330-454-8076 Fax: 330-454-3927 |