| Jennifer Marie Conlon, MD | |
|
5450 Far Hills Ave Ste 110, Kettering, OH 45429-2346 | |
| (937) 436-2866 | |
| (937) 436-1468 |
| Full Name | Jennifer Marie Conlon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5450 Far Hills Ave Ste 110, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023194248 | NPI | - | NPPES |
| 0114414 | Medicaid | OH | |
| 0114414 | Other | BUR CHILDREN W MED HANDIC | |
| 4644133 | Other | AETNA | |
| 000000339085 | Other | BLUE CROSS BLUE SHIELD | |
| 1333851 | Other | UNITED HEALTHCARE | |
| 311627276034 | Other | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35.065320 (Ohio) | Primary |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| 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 |
|---|---|
| Jennifer Marie Conlon, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Jennifer Marie Conlon, MD 5450 Far Hills Ave Ste 110, Kettering, OH 45429-2346 Ph: (937) 436-2866 |
Ragheed Katkhuda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
Dr. Loren Ann Nallu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
Phyllis R Elinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
Wendy L Blumberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
James A. Bryant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
Dr. Angela Lynne Isbel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-395-8814 |