Tiffany Madsen Ohta, MD | |
6488 Weddington Monroe Rd, Wesley Chapel, NC 28104-7948 | |
(704) 384-8460 | |
(704) 384-1018 |
Full Name | Tiffany Madsen Ohta |
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Gender | Female |
Speciality | Pediatrics |
Location | 6488 Weddington Monroe Rd, Wesley Chapel, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144398413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 2016-00856 (North Carolina) | Primary |
Entity Name | Carolinas Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
Entity Name | Novant Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
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Tiffany Madsen Ohta, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Tiffany Madsen Ohta, MD 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104-7948 Ph: (704) 384-8460 |
Thomas Faran Pittman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104 Phone: 704-384-8460 Fax: 704-384-8465 | |
Holly Gwen Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104 Phone: 704-384-8460 Fax: 704-384-1018 |