Charles Jay Marti, MD | |
600 N Pickaway St, Circleville, OH 43113-2409 | |
(740) 474-2126 | |
(740) 477-1022 |
Full Name | Charles Jay Marti |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 600 N Pickaway St, Circleville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114977493 | NPI | - | NPPES |
0615383 | Medicaid | OH | |
000000317196 | Other | BCBS CIRCLEVILLE | |
P00111888 | Other | RAILROAD MEDICARE | |
000000326800 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35053086 (Ohio) | Primary |
Entity Name | Ohio Emergency Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Entity Name | Mid-ohio Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881164010 PECOS PAC ID: 7810233517 Enrollment ID: O20190117001823 |
Mailing Address | Practice Location Address |
---|---|
Charles Jay Marti, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Charles Jay Marti, MD 600 N Pickaway St, Circleville, OH 43113-2409 Ph: (740) 474-2126 |
Diane Dieckman Jenkins, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 | |
William A Jenkins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 | |
Brett Allan Call, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 | |
Ronald B Taylor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-420-8253 | |
Harvey James Pierce Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1434 Circleville Plaza Dr, Circleville, OH 43113 Phone: 740-420-7975 | |
Gangadhar Dattatraya Sangvai, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 |