Keith D Levendorf, MD | |
335 Glessner Ave, Mansfield, OH 44903-2269 | |
(419) 526-8768 | |
(419) 522-4697 |
Full Name | Keith D Levendorf |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 335 Glessner Ave, Mansfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164527362 | NPI | - | NPPES |
000000233866 | Other | OH | ANTHEM |
0610726 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35052841L (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Cleveland Anesthesia Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154407955 PECOS PAC ID: 7113830050 Enrollment ID: O20031107000151 |
Entity Name | Ohiohealth Regional Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538552468 PECOS PAC ID: 9739496902 Enrollment ID: O20150921001772 |
Entity Name | Aultman Deuble Heart & Vascular Hospital, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306495718 PECOS PAC ID: 1850726126 Enrollment ID: O20200114002347 |
Mailing Address | Practice Location Address |
---|---|
Keith D Levendorf, MD 308 Glessner Ave, Mansfield, OH 44903-2225 Ph: (419) 526-8768 | Keith D Levendorf, MD 335 Glessner Ave, Mansfield, OH 44903-2269 Ph: (419) 526-8768 |
David Philip Kallile, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 | |
Dr. Vasanti K Desai, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-526-8000 | |
Dr. John Parkinson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-774-9707 | |
Dr. Gary S. Freeman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-526-8768 Fax: 419-522-4697 | |
Dr. Nikhil M Doshi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-774-9707 | |
Dr. David F Ott, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-774-9707 |