Kelly Mead Gaughen, DO | |
919 2nd St Ne, Canton, OH 44704-1132 | |
(330) 453-3386 | |
Not Available |
Full Name | Kelly Mead Gaughen |
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Gender | Female |
Speciality | Pediatrics |
Location | 919 2nd St Ne, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184988008 | NPI | - | NPPES |
270950 | Medicaid | OH |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
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Kelly Mead Gaughen, DO 1721 19th St, Cuyahoga Falls, OH 44223-1845 Ph: (406) 579-2912 | Kelly Mead Gaughen, DO 919 2nd St Ne, Canton, OH 44704-1132 Ph: (330) 453-3386 |
Dr. Arielle Elizabeth Bokisa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-438-7430 | |
Richard Allen Langsdorf, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4792 Munson St Nw, Human Development & Counselling Assoc Inc, Canton, OH 44718 Phone: 330-494-4636 Fax: 330-494-5861 | |
Lisa Richer Ford, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth Street Sw, Harter 266, Canton, OH 44710 Phone: 330-438-7430 Fax: 330-580-5542 | |
Dr. Frank G Artinian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Whipple Ave Sw, Canton, OH 44710 Phone: 330-478-0038 Fax: 330-477-1383 | |
Dr. Asif Younus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2815 Tuscarawas St W, Canton, OH 44708 Phone: 330-452-6109 Fax: 330-452-5060 | |
Dr. Thomas Aubrey Nguyen, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4575 Everhard Rd Nw, Canton, OH 44718 Phone: 330-494-5600 Fax: 330-966-1644 | |
Mr. Michael J Motz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4575 Everhard Rd Nw, Canton, OH 44718 Phone: 330-494-5600 Fax: 330-966-1644 |