Dr Casey John Moothart, MD | |
924 Waycross Rd, Cincinnati, OH 45240-3022 | |
(513) 588-3623 | |
(513) 851-4800 |
Full Name | Dr Casey John Moothart |
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Gender | Male |
Speciality | Pediatrics |
Location | 924 Waycross Rd, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407045164 | NPI | - | NPPES |
2937479 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35-093143 (Ohio) | Primary |
207R00000X | Internal Medicine | 35-093143 (Ohio) | Secondary |
Entity Name | The Healthcare Connection, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053337675 PECOS PAC ID: 8628988318 Enrollment ID: O20150225001988 |
Mailing Address | Practice Location Address |
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Dr Casey John Moothart, MD 924 Waycross Rd, Cincinnati, OH 45240-3022 Ph: (513) 588-3623 | Dr Casey John Moothart, MD 924 Waycross Rd, Cincinnati, OH 45240-3022 Ph: (513) 588-3623 |
Brian Keith Turpin, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 Burnet Ave, Cincinnati, OH 45229 Phone: 513-636-3381 Fax: 513-636-3549 | |
Adam A. Vukovic, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Burnet Avenue, Ml 2008, Cincinnati, OH 45229 Phone: 513-636-7966 Fax: 513-636-7967 | |
Mary Emily C Haas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave Ml 2008, Cincinnati, OH 45229 Phone: 513-636-7966 Fax: 513-636-7967 | |
Dr. Amil H. Allen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Burnet Avenue, Ml 7009, Cincinnati, OH 45229 Phone: 513-636-4830 Fax: 513-636-7868 | |
Uma Kotagal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 3025, Cincinnati, OH 45229 Phone: 513-636-0178 Fax: 513-636-0333 | |
Karen A Kalinyak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave, Ml 7015, Cincinnati, OH 45229 Phone: 513-636-4266 Fax: 513-636-3549 | |
Dr. Nancy Deblasis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8245 Northcreek Dr, Cincinnati, OH 45236 Phone: 513-246-7000 Fax: 513-246-5284 |