| Jonathon C Sullum, MD | |
|
2601 Stafford Avenue, Scranton, PA 18505-0305 | |
| (570) 346-6633 | |
| Not Available |
| Full Name | Jonathon C Sullum |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2601 Stafford Avenue, Scranton, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225041536 | NPI | - | NPPES |
| 000000083999 | Other | PA | THREE RIVERS |
| 300020246 | Other | PA | RAILROAD MEDICARE |
| 0004210397 | Other | PA | 0004210397 |
| 0006585310012 | Medicaid | PA | |
| C31604 | Other | PA | BLUE CROSS |
| 141629 | Other | PA | HIGHMARK BLUE SHIELD |
| 20007413 | Other | PA | AMERIHEALTH MERCY |
| 10624 1686 | Other | PA | GEISINGER HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD020198E (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon C Sullum, MD 2601 Stafford Avenue, Po Box 3305, Scranton, PA 18505-0305 Ph: (570) 346-6633 | Jonathon C Sullum, MD 2601 Stafford Avenue, Scranton, PA 18505-0305 Ph: (570) 346-6633 |
Dr. Shaun W. Mclaughlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Dr. Salman S Mirza, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Jamie S Stallman, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 Fax: 570-307-4226 | |
Champak M Dedhia, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 | |
Sagar M Shah, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 | |
Kevin T Fogarty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 484-884-4500 Fax: 570-800-7529 |