Dr Kevin Glen Doherty, DO | |
6511 Taggart Rd, Delaware, OH 43015-8893 | |
(740) 548-6180 | |
(740) 548-1882 |
Full Name | Dr Kevin Glen Doherty |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 6511 Taggart Rd, Delaware, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518069236 | NPI | - | NPPES |
000000319608 | Other | BCBS GREENFIELD | |
000000591796 | Other | OH | BCBS FAYETTE |
0861367 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.005332 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 34005332 (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Entity Name | Ohio Emergency Professionals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Entity Name | Ohio Emergency Care Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Glen Doherty, DO 6511 Taggart Rd, Delaware, OH 43015-8893 Ph: (740) 548-6180 | Dr Kevin Glen Doherty, DO 6511 Taggart Rd, Delaware, OH 43015-8893 Ph: (740) 548-6180 |
Amy K Ramey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-369-8711 Fax: 740-368-5050 | |
David Anthony Sestak, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Sunbury Rd, Delaware, OH 43015 Phone: 740-363-3133 Fax: 740-363-3135 | |
Matthew J. Sanders, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-369-8711 Fax: 740-368-5050 | |
David Trinco, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-1000 | |
David D Watson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-1153 Fax: 740-615-1150 | |
Misty E Arnold, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-369-8711 Fax: 740-368-5050 | |
Thomas Jams Zuesi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-1169 Fax: 740-615-1173 |