Dr Quang Kim Le, MD | |
615 Fulton St, Port Clinton, OH 43452-2001 | |
(419) 734-3131 | |
Not Available |
Full Name | Dr Quang Kim Le |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 615 Fulton St, Port Clinton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003928623 | NPI | - | NPPES |
2190972 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-074958 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 35.074958 (Ohio) | Primary |
Entity Name | H.b. Magruder Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922079532 PECOS PAC ID: 8921915786 Enrollment ID: O20031205000057 |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
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Dr Quang Kim Le, MD 26700 Brookpark Road Ext, Suite 1, North Olmsted, OH 44070-3124 Ph: (440) 716-0800 | Dr Quang Kim Le, MD 615 Fulton St, Port Clinton, OH 43452-2001 Ph: (419) 734-3131 |
Richard L Kendall, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 135 W Perry St, Port Clinton, OH 43452 Phone: 419-732-7800 Fax: 419-797-4843 | |
Scott Donald Zgrabik, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131 Fax: 419-732-4007 | |
Dr. Timothy Herbert Omley, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131 | |
Dr. Reginald Keith Franklin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131 |