Gary Dale Richardson, DO | |
400 Austin Ave Nw, Massillon, OH 44646-3598 | |
(216) 837-7200 | |
Not Available |
Full Name | Gary Dale Richardson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 400 Austin Ave Nw, Massillon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447297023 | NPI | - | NPPES |
0498135 | Medicaid | OH | |
P00332912 | Other | OH | MEDICARE TRAVELERS RR-GA |
942460636442 | Other | OH | CARESOURCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34003395 (Ohio) | Primary |
Entity Name | Canton Aultman Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832381 PECOS PAC ID: 2961307319 Enrollment ID: O20031201000025 |
Mailing Address | Practice Location Address |
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Gary Dale Richardson, DO 7021 Militia Hill St Nw, Canton, OH 44718 Ph: () - | Gary Dale Richardson, DO 400 Austin Ave Nw, Massillon, OH 44646-3598 Ph: (216) 837-7200 |
David R Didur, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Austin Ave Nw, Massillon, OH 44646 Phone: 216-837-7200 | |
Gregory Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-493-4443 Fax: 330-493-8677 | |
Erik Schmeiser, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-832-8761 | |
Dr. John Stephen Current, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-837-6868 | |
Dr. Brian Keith Adams, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2021 Wales Ave Nw, Massillon, OH 44646 Phone: 330-834-3149 | |
Dr. Melissa Leutz, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-832-8761 |