Edward Missinne, | |
2600 6th St Sw, Canton, OH 44710-1702 | |
(844) 722-4471 | |
Not Available |
Full Name | Edward Missinne |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2600 6th St Sw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780046318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35.145228 (Ohio) | Primary |
Entity Name | Columbus Radiology Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20210108001400 |
Entity Name | Radiology Associates Of Canton, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912982034 PECOS PAC ID: 7012829260 Enrollment ID: O20220818000000 |
Mailing Address | Practice Location Address |
---|---|
Edward Missinne, 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: () - | Edward Missinne, 2600 6th St Sw, Canton, OH 44710-1702 Ph: (844) 722-4471 |
Brad William Cushnyr, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Radiology Associates Of Canton, Inc - Attn: Cecilia, Canton, OH 44710 Phone: 330-363-2842 Fax: 330-580-5536 | |
Steven E Olyejar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-452-9911 | |
Kristy Mae Wolfel, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-6267 | |
Robert E Reaven, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1070 | |
Dr. Edward J. Walsh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1278 Fax: 330-430-2778 | |
Thomas B Poulton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Radiology Associates Of Canton, Inc, Canton, OH 44710 Phone: 330-363-2842 Fax: 330-580-5536 | |
James H Short, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Radiology Associates Of Canton, Inc, Canton, OH 44710 Phone: 330-363-2842 Fax: 330-580-5536 |