Jonathon Walter Vargo, MD | |
1111 Teneyck St, Jackson, MI 49201-2461 | |
(517) 205-8940 | |
Not Available |
Full Name | Jonathon Walter Vargo |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1111 Teneyck St, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811438245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 4301509047 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
Mailing Address | Practice Location Address |
---|---|
Jonathon Walter Vargo, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: () - | Jonathon Walter Vargo, MD 1111 Teneyck St, Jackson, MI 49201-2461 Ph: (517) 205-8940 |
Tate Matthew Naylor, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1111 Teneyck St, Jackson, MI 49201 Phone: 517-205-8940 | |
Syed Ahmed Ali, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1111 Teneyck St Ste 100, Jackson, MI 49201 Phone: 517-205-8940 | |
Dr. Stephen L Kirkner, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1111 Teneyck St, Suite 100, Jackson, MI 49201 Phone: 517-787-8940 Fax: 517-787-9054 |