David Robert Stukus, MD | |
7853 Pacer Dr, Delaware, OH 43015-7571 | |
(614) 722-6200 | |
Not Available |
Full Name | David Robert Stukus |
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Gender | Male |
Speciality | Pediatrics - Pediatric Allergy/immunology |
Location | 7853 Pacer Dr, Delaware, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164429213 | NPI | - | NPPES |
H002810 | Other | OH | CGS - MEDICARE |
2549362 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 35083718 (Ohio) | Primary |
207K00000X | Allergy & Immunology | 35083718 (Ohio) | Secondary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Mailing Address | Practice Location Address |
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David Robert Stukus, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | David Robert Stukus, MD 7853 Pacer Dr, Delaware, OH 43015-7571 Ph: (614) 722-6200 |
Emily Sentman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Elizabeth Anne Claxton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Gregory B Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Blake Randolph, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7420 Gooding Blvd, Delaware, OH 43015 Phone: 740-657-8000 | |
Dr. Natalie Ann Dick, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 Ohiohealth Blvd, Ste 200, Delaware, OH 43015 Phone: 740-615-0270 Fax: 740-615-0279 | |
Stacee Marie Lewis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr Ste 3a, Delaware, OH 43015 Phone: 614-764-9955 Fax: 614-792-5086 |