Dr Pankaj Chand Gupta, MD | |
5890 Mayfair Rd, North Canton, OH 44720-1547 | |
(330) 305-2200 | |
(330) 305-2210 |
Full Name | Dr Pankaj Chand Gupta |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 5890 Mayfair Rd, North 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 |
---|---|---|---|
1609929371 | NPI | - | NPPES |
0069769 | Medicaid | OH | |
P01168884 | Other | OH | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 227967 (Massachusetts) | Secondary |
207W00000X | Ophthalmology | 35-099606 (Ohio) | Primary |
Entity Name | Roholt Vision Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700819455 PECOS PAC ID: 0143204388 Enrollment ID: O20040616000000 |
Entity Name | Spectrum Eye Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821095381 PECOS PAC ID: 6103850581 Enrollment ID: O20050925000021 |
Mailing Address | Practice Location Address |
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Dr Pankaj Chand Gupta, MD 5890 Mayfair Rd, North Canton, OH 44720-1547 Ph: (330) 305-2200 | Dr Pankaj Chand Gupta, MD 5890 Mayfair Rd, North Canton, OH 44720-1547 Ph: (330) 305-2200 |
David W Nelson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6407 Frank Ave Nw, North Canton, OH 44720 Phone: 330-966-1111 Fax: 330-966-8333 | |
Thomas A. Wohl, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5890 Mayfair Rd, North Canton, OH 44720 Phone: 330-305-2200 Fax: 330-305-2210 | |
Lawrence Ronning, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1350 Fax: 330-305-5021 | |
Dr. Jason M Young, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5890 Mayfair Rd, North Canton, OH 44720 Phone: 330-305-2200 | |
Laurence J Karns, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6407 Frank Ave Nw, North Canton, OH 44720 Phone: 330-966-1111 Fax: 330-966-8333 |