Douglas D Massick, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(855) 446-5937 | |
(740) 446-5644 |
Full Name | Douglas D Massick |
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Gender | Male |
Speciality | Otolaryngology |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881666287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35075107M (Ohio) | Primary |
Entity Name | Holzer Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Douglas D Massick, MD 90 Jackson Pike, Gallipolis, OH 45631-1562 Ph: (740) 446-5000 | Douglas D Massick, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (855) 446-5937 |
Dr. John H. Viall, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5890 Fax: 740-446-5532 | |
Charles D Crigger, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5135 Fax: 740-446-5958 | |
James R. Magnussen, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5415 Fax: 740-446-5958 |