Dr Ernst Fattakhov, MD | |
707 E Main St, Middletown, NY 10940-2650 | |
(845) 333-6333 | |
Not Available |
Full Name | Dr Ernst Fattakhov |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 707 E Main St, Middletown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164046744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | U3839 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Jefferson Emergency Medicine Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497966949 PECOS PAC ID: 8325130925 Enrollment ID: O20070828000367 |
Entity Name | Jasper Emergency Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346442746 PECOS PAC ID: 7618062241 Enrollment ID: O20070927000597 |
Entity Name | Southeast Emergency Medicine Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831781491 PECOS PAC ID: 2062820616 Enrollment ID: O20210420000721 |
Entity Name | Jasper Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922781970 PECOS PAC ID: 9133573983 Enrollment ID: O20230927001797 |
Entity Name | Jefferson Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609559699 PECOS PAC ID: 4880048560 Enrollment ID: O20230928003491 |
Mailing Address | Practice Location Address |
---|---|
Dr Ernst Fattakhov, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Ernst Fattakhov, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-6333 |
Drora F. Hirsch, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1774 | |
Dr. Christopher Michael Catapano, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 | |
James E Oxley, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1111 Fax: 845-333-1102 | |
Renee Macri Levin-waldman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Joyce A Brown, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Dr. Robert Myles Dickason, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 |