Brandon John Parker, DO | |
14519 Detroit Ave, Lakewood, OH 44107-4316 | |
(216) 521-4200 | |
Not Available |
Full Name | Brandon John Parker |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 14519 Detroit Ave, Lakewood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962609164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34010016 (Ohio) | Primary |
207P00000X | Emergency Medicine | 262845 (New York) | Secondary |
Entity Name | Buffalo Emergency Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508816521 PECOS PAC ID: 4981502515 Enrollment ID: O20031222000057 |
Entity Name | Emergency Physician Services Of New York, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
Mailing Address | Practice Location Address |
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Brandon John Parker, DO 2880 N Bay Dr Apt N13, Westlake, OH 44145-4477 Ph: (716) 479-5762 | Brandon John Parker, DO 14519 Detroit Ave, Lakewood, OH 44107-4316 Ph: (216) 521-4200 |
Steven Carl Blaha, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Charles Richardson Cowap, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Richard Arnold Nelson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14519 Detroit Avenue, Lakewood, OH 44107 Phone: 216-521-4200 | |
Otis Mark Hastings, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Virginia Ann Evans, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 |