Dr Thomas J Gavin, MD | |
410 W 10th Ave, Columbus, OH 43210-1240 | |
(614) 293-8305 | |
(614) 262-4042 |
Full Name | Dr Thomas J Gavin |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 410 W 10th Ave, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780764738 | NPI | - | NPPES |
0863561 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35062339 (Ohio) | Primary |
Entity Name | Mid-ohio Emergency Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386691780 PECOS PAC ID: 8921907601 Enrollment ID: O20031231000569 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas J Gavin, MD 700 Ackerman Rd, Suite 540, Columbus, OH 43202-1559 Ph: (614) 255-7750 | Dr Thomas J Gavin, MD 410 W 10th Ave, Columbus, OH 43210-1240 Ph: (614) 293-8305 |
Lauren Talanda-fath Southerland, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Emergency Department, Columbus, OH 43210 Phone: 614-293-8305 | |
Kushal Nandam, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 376 W 10th Ave, 760 Prior Hall, Columbus, OH 43210 Phone: 614-293-3551 | |
Alexander J. Stuber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2323 W 5th Ave, Columbus, OH 43204 Phone: 330-631-5829 | |
Andrew Gathof, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8305 | |
Dr. Maura Marie Manning, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 480 S 3rd St, Columbus, OH 43215 Phone: 614-512-9665 | |
Maulik Trivedi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 W Broad St Ste 1330, Columbus, OH 43215 Phone: 908-663-2929 | |
Dr. Heather Michelle Childers, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5100 W Broad St, Columbus, OH 43228 Phone: 614-544-1000 |