Dr Beth Anna Sullivan, MD | |
1 Childrens Plz, Dayton, OH 45404-1815 | |
(937) 641-3000 | |
Not Available |
Full Name | Dr Beth Anna Sullivan |
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Gender | Female |
Speciality | Hospitalist |
Location | 1 Childrens Plz, 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 |
---|---|---|---|
1093002453 | NPI | - | NPPES |
0104853 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.122545 (Ohio) | Secondary |
208M00000X | Hospitalist | 35.122545 (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 |
---|---|
Dr Beth Anna Sullivan, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Dr Beth Anna Sullivan, MD 1 Childrens Plz, Dayton, OH 45404-1815 Ph: (937) 641-3000 |
Shamsuddin C Pracha, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8881 N Main St, Dayton, OH 45415 Phone: 937-832-5292 Fax: 937-832-7505 | |
Bhumit Patel, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3276 Fax: 937-723-3277 | |
Muhammad Saleh Rashid Mian, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33 W Rahn Rd, Dayton, OH 45429 Phone: 937-433-8990 Fax: 937-433-8691 | |
Dr. Damynus Nyakoe Gekonde, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3276 Fax: 937-723-3276 | |
Dr. Mompoloki Benson Kealeboga Nkhumane, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-395-6665 Fax: 937-395-6668 | |
Dr. Asheesh Bothra, M.B.,B.S. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33 W Rahn Rd, Dayton, OH 45429 Phone: 937-433-8990 Fax: 937-433-8691 | |
Ahmed N Hadid, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3276 Fax: 937-723-3277 |