Cody R Weaver, | |
128 E Apple St, 2nd Floor, Dayton, OH 45409-2902 | |
(937) 208-2004 | |
(937) 208-8828 |
Full Name | Cody R Weaver |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 128 E Apple 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 |
---|---|---|---|
1366973851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35.139766 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Five Rivers Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
Mailing Address | Practice Location Address |
---|---|
Cody R Weaver, 128 E Apple St, 2nd Floor, Dayton, OH 45409-2902 Ph: (937) 208-2004 | Cody R Weaver, 128 E Apple St, 2nd Floor, Dayton, OH 45409-2902 Ph: (937) 208-2004 |
Ratnam A Oza, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 S Main St, Ste. 203, Dayton, OH 45409 Phone: 937-222-0603 Fax: 937-222-7122 | |
Dr. Mohamed Elmouelhi, MD, PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 Phone: 937-268-6511 | |
Freesia Dhingra, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 4100 W. Third St., Dayton, OH 45428 Phone: 937-268-6511 | |
James P Graham, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 S Main St, # 2, Dayton, OH 45409 Phone: 937-461-5815 Fax: 937-461-2896 | |
Ugochukwu Nwokoro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1735 Big Hill Rd, Dayton, OH 45439 Phone: 937-224-4325 Fax: 937-224-4327 | |
Dr. Howard M Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8881 N Main St, Dayton, OH 45415 Phone: 937-293-1622 Fax: 937-245-6308 | |
Dr. Mark D Romer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3120 Governors Place Blvd, Dayton, OH 45409 Phone: 937-293-1622 Fax: 937-245-6308 |