Dr Terrill Burnworth, DO | |
1320 W Main St, Newark, OH 43055-1822 | |
(740) 348-4151 | |
(740) 348-7153 |
Full Name | Dr Terrill Burnworth |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1320 W Main St, 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 |
---|---|---|---|
1578561676 | NPI | - | NPPES |
2183908 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34007285 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 34-007285 (Ohio) | Primary |
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 Terrill Burnworth, DO 1320 W Main St, Newark, OH 43055-1822 Ph: (740) 348-4151 | Dr Terrill Burnworth, DO 1320 W Main St, Newark, OH 43055-1822 Ph: (740) 348-4151 |
Dr. Matthew Craig Bromley, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4151 Fax: 220-564-7153 | |
Dr. Thom Wood, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 740-348-4144 Fax: 740-348-4145 | |
Kush Patel, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4151 | |
Dr. Michael Mcfarlane, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4151 Fax: 220-564-7153 | |
Dr. Randy Jones, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4151 Fax: 220-564-7153 | |
Dr. Sami Teshome Getahun, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4000 | |
Dr. Maryjane Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4144 Fax: 220-564-4145 |