Cheryl R Kuck, MD | |
1010 Valley St, Dayton, OH 45404-2070 | |
(937) 641-4000 | |
(937) 641-4500 |
Full Name | Cheryl R Kuck |
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Gender | Female |
Speciality | Pediatrics |
Location | 1010 Valley St, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386607810 | NPI | - | NPPES |
0187793 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35-068454 (Ohio) | Primary |
Entity Name | Dayton Childrens Specialty Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
Mailing Address | Practice Location Address |
---|---|
Cheryl R Kuck, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Cheryl R Kuck, MD 1010 Valley St, Dayton, OH 45404-2070 Ph: (937) 641-4000 |
Hemanth Shimoga Lingadevaru, MD,MPH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 Fax: 937-641-3107 | |
Tanya Paul, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 | |
Dr. Sara Frances Guerrero-duby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Dr. Rory Jon Peppard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409 Phone: 937-208-2907 Fax: 937-208-4515 | |
Dr. Emmett H Broxson Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3111 Fax: 937-641-5885 | |
Dr. Ramakrishna Mutyala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 934-641-4500 | |
Bryce Lawrence Willen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 |