Darryl Glen Koop, MD | |
600 N Pickaway St, Circleville, OH 43113-2409 | |
(740) 474-2126 | |
(740) 477-1022 |
Full Name | Darryl Glen Koop |
---|---|
Gender | Male |
Speciality | Family 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 |
---|---|---|---|
1023068384 | NPI | - | NPPES |
P00120093 | Other | RR CIRCLEVILLE | |
000000316757 | Other | OH | BCBS |
2055289 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35070336K (Ohio) | Primary |
Entity Name | Ohio Emergency Professionals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Entity Name | Spero Health Of Ohio, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346748563 PECOS PAC ID: 4486030376 Enrollment ID: O20220929002575 |
Mailing Address | Practice Location Address |
---|---|
Darryl Glen Koop, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Darryl Glen Koop, MD 600 N Pickaway St, Circleville, OH 43113-2409 Ph: (740) 474-2126 |
Luke James Schaffer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1434 Circleville Plaza Dr, Circleville, OH 43113 Phone: 740-571-9900 | |
Dr. John Arthur Ellis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 | |
Elizabeth Yeager, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Morris Rd, Circleville, OH 43113 Phone: 740-420-3000 | |
Mr. Vernon Glick Bolender, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 Northridge Rd, Circleville, OH 43113 Phone: 740-474-3159 Fax: 740-474-2110 | |
Matthew Benjamin Johnston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Sharon Rd Ste D, Circleville, OH 43113 Phone: 740-420-8422 Fax: 740-420-6270 | |
Michael Frederick Flamm, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 |