Jantira Tara Thomas, DO | |
29000 Center Ridge Rd, Westlake, OH 44145-5293 | |
(440) 827-5784 | |
(440) 827-5412 |
Full Name | Jantira Tara Thomas |
---|---|
Gender | Female |
Speciality | Geriatric Medicine |
Experience | 12 Years |
Location | 29000 Center Ridge Rd, Westlake, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952660359 | NPI | - | NPPES |
0127975 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34011590 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
Bermuda Village Retirement Center | Bermuda run, NC | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Forest University Health Sciences | 4486564952 | 2048 |
Entity Name | Wake Forest University Health Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Jantira Tara Thomas, DO 34476 Saint Maron Blvd, Avon, OH 44011-3219 Ph: (814) 923-1324 | Jantira Tara Thomas, DO 29000 Center Ridge Rd, Westlake, OH 44145-5293 Ph: (440) 827-5784 |
Anita Cheriyan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25200 Center Ridge Rd, #3200, Westlake, OH 44145 Phone: 440-895-5040 Fax: 440-895-5073 | |
Peter H Greenwalt, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Columbia Rd, Suite 200, Westlake, OH 44145 Phone: 440-808-1212 Fax: 440-808-0321 | |
Henry Blunk, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5784 | |
Deema Chakhachiro, Internal Medicine Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-847-9956 | |
Michael J Dobrovich, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29325 Health Campus Dr, Ste 2, Westlake, OH 44145 Phone: 440-835-6142 Fax: 440-899-4383 | |
Robert F Straub, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Columbia Rd Ste 200, Westlake, OH 44145 Phone: 440-808-1212 Fax: 440-808-2060 | |
Mbanefo Ojukwu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 |