Dr Tiffany Lynn Wissman, MD | |
8501 Old Troy Pike Ste 120, Huber Heights, OH 45424-1061 | |
(937) 237-4945 | |
(937) 237-4925 |
Full Name | Dr Tiffany Lynn Wissman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8501 Old Troy Pike Ste 120, Huber Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811208259 | NPI | - | NPPES |
0082872 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35120987 (Ohio) | Primary |
Entity Name | Dayton Childrens Specialty Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
Mailing Address | Practice Location Address |
---|---|
Dr Tiffany Lynn Wissman, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Dr Tiffany Lynn Wissman, MD 8501 Old Troy Pike Ste 120, Huber Heights, OH 45424-1061 Ph: (937) 237-4945 |
Joel T Wehrmeyer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6251 Good Samaritan Way Ste 210c, Huber Heights, OH 45424 Phone: 937-233-3910 Fax: 937-233-8389 | |
Amy Keebler Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6251 Good Samaritan Way, Suite 210c, Huber Heights, OH 45424 Phone: 937-233-3910 Fax: 937-233-8389 | |
Dr. Linda Ebelechukwu Odenigbo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8638 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-237-4945 Fax: 937-237-4925 | |
Dr. Matthew William Byers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8501 Old Troy Pike Ste 120, Huber Heights, OH 45424 Phone: 937-237-4945 Fax: 937-237-4925 | |
Julie S Shepard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7371 Brandt Pike, Suite C, Huber Heights, OH 45424 Phone: 937-236-5396 Fax: 937-236-5502 | |
Michael Ryan Kessel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8501 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-641-4000 | |
Dr. John Walter Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8501 Old Troy Pike Ste 120, Huber Heights, OH 45424 Phone: 937-237-4945 Fax: 937-237-4925 |