Dr Michael D London, MD | |
4760 Belpar St Nw, Canton, OH 44718-3603 | |
(330) 492-9200 | |
(330) 492-5454 |
Full Name | Dr Michael D London |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 4760 Belpar St Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871664250 | NPI | - | NPPES |
0665203 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 35055142 (Ohio) | Primary |
Entity Name | Magnolia Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073827549 PECOS PAC ID: 5193912889 Enrollment ID: O20101207000799 |
Entity Name | Magnolia Professional Billing |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528592961 PECOS PAC ID: 2860760279 Enrollment ID: O20170607001996 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael D London, MD 4760 Belpar St Nw, Canton, OH 44718-3603 Ph: (330) 492-9200 | Dr Michael D London, MD 4760 Belpar St Nw, Canton, OH 44718-3603 Ph: (330) 492-9200 |
Dr. Stephen Adrian Lopez, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6046 Whipple Ave Nw, Canton, OH 44720 Phone: 330-499-2209 | |
Dr. Daniel Alexander Charlick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4760 Belpar St Nw, Canton, OH 44718 Phone: 330-492-9200 Fax: 330-492-5454 | |
Dr. Gerald F Klimo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4760 Belpar St Nw, Canton, OH 44718 Phone: 330-492-9200 Fax: 330-492-5454 | |
Dr. Brian J Blake, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4760 Belpar St Nw, Canton, OH 44718 Phone: 330-492-9200 Fax: 330-492-5454 | |
Dr. Dennis Bruce Kolarik, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2221 9th St Sw, Canton, OH 44706 Phone: 330-455-3663 | |
Dr. Anthony S Pentz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4760 Belpar St Nw, Canton, OH 44718 Phone: 330-492-9200 Fax: 330-492-5454 | |
Dr. Ira E Richterman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4760 Belpar St Nw, Canton, OH 44718 Phone: 330-492-9200 Fax: 330-492-5454 |