Dr Keith Layne Henson, DO | |
8401 Market Street, C/o Medical Staff Office, Boardman, OH 44512 | |
(330) 533-5699 | |
(330) 702-1144 |
Full Name | Dr Keith Layne Henson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 42 Years |
Location | 8401 Market Street, Boardman, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023009412 | NPI | - | NPPES |
0585817 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34-00-3554 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triad Health Services Llc | 9032367917 | 191 |
Entity Name | Northeastern Ohio Infectious Disease Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497769707 PECOS PAC ID: 5799781829 Enrollment ID: O20061013000102 |
Entity Name | Triad Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Layne Henson, DO Po Box 3611, Boardman, OH 44513-3611 Ph: (330) 533-5699 | Dr Keith Layne Henson, DO 8401 Market Street, C/o Medical Staff Office, Boardman, OH 44512 Ph: (330) 533-5699 |
Mrs. Jessica Harriman Austin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-480-2926 | |
Dr. Thomas Nicholas Detesco, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7341 Eisenhower Dr, Boardman, OH 44512 Phone: 330-726-1138 Fax: 330-726-6128 | |
Dr. Thomas E Hunt, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 7206 Market St Ste 100a, Boardman, OH 44512 Phone: 330-726-3379 Fax: 330-726-8683 | |
Amer Aldamouk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 | |
Manuel M Bautista, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Windham Ct, Suite 1, Boardman, OH 44512 Phone: 330-726-3357 Fax: 330-726-1465 | |
Dr. Abhay Sharma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1591 |