Dr Shelley Gittens, MD | |
1865 Tamarack Rd, Newark, OH 43055 | |
(220) 564-4935 | |
(220) 564-4944 |
Full Name | Dr Shelley Gittens |
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Gender | Female |
Speciality | Pediatrics |
Location | 1865 Tamarack Rd, Newark, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801895990 | NPI | - | NPPES |
2145664 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 35077113 (Ohio) | Secondary |
208000000X | Pediatrics | 35-077113 (Ohio) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Entity Name | Licking Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
Mailing Address | Practice Location Address |
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Dr Shelley Gittens, MD 1865 Tamarack Rd, Newark, OH 43055-2305 Ph: (220) 564-4935 | Dr Shelley Gittens, MD 1865 Tamarack Rd, Newark, OH 43055 Ph: (220) 564-4935 |
Dr. Hanaa Abdelmessih, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1865 Tamarack Rd, Newark, OH 43055 Phone: 220-564-4934 Fax: 220-564-4944 | |
Jimisha Patel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1864 Tamarack Road, Newark, OH 43055 Phone: 220-564-4939 Fax: 220-564-4944 | |
Priyanshi Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 399 E Main St, Newark, OH 43055 Phone: 220-564-1840 Fax: 220-564-1841 | |
Dr. Richard Baltisberger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1865 Tamarack Rd, Newark, OH 43055 Phone: 220-564-4940 Fax: 220-564-4930 | |
Dr. Tiffany Jane Owens, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14 Westgate Dr, Newark, OH 43055 Phone: 220-564-7510 Fax: 220-564-7511 | |
Allison Bosse, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1671 W Main St, Newark, OH 43055 Phone: 740-522-5437 Fax: 740-522-9609 | |
Donna Jean Mcdonald, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1960 Tamarack Rd, Newark, OH 43055 Phone: 740-344-8687 Fax: 740-522-5110 |