Kent W Doherty, DO | |
465 N Cleveland Ave Ste 200, Westerville, OH 43082-8642 | |
(614) 899-0000 | |
(614) 899-0524 |
Full Name | Kent W Doherty |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 30 Years |
Location | 465 N Cleveland Ave Ste 200, Westerville, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477689909 | NPI | - | NPPES |
0916209 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34005320 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Ohio Primary Care Physicians, Inc. | 2769383785 | 490 |
Entity Name | Central Ohio Primary Care Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
Mailing Address | Practice Location Address |
---|---|
Kent W Doherty, DO 465 N Cleveland Ave Ste 200, Westerville, OH 43082-8642 Ph: (614) 899-0000 | Kent W Doherty, DO 465 N Cleveland Ave Ste 200, Westerville, OH 43082-8642 Ph: (614) 899-0000 |
Sidney L Couling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 465 N Cleveland Ave Ste 200, Westerville, OH 43082 Phone: 614-899-0000 Fax: 614-899-0524 | |
Michael Goodman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 477 Cooper Rd Ste 480, Westerville, OH 43081 Phone: 614-823-7135 Fax: 614-823-7137 | |
Nicole R Vansteyn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 540 N Cleveland Ave Ste 200, Westerville, OH 43082 Phone: 614-891-9505 Fax: 614-891-6416 | |
Dr. Vijay S Kumbar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 540 N Cleveland Ave Ste 250, Westerville, OH 43082 Phone: 614-891-4705 Fax: 614-568-8050 | |
Michelle Emelia Yaw, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 575 Westar Xing, Suite 101, Westerville, OH 43082 Phone: 614-508-2223 Fax: 614-508-2233 | |
Brad Edward Fuller, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 625 Africa Rd Ste 300, Westerville, OH 43082 Phone: 614-882-9460 Fax: 614-882-9802 | |
Dr. Michael Todd Shoemaker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 587 Brook Run Dr, Westerville, OH 43081 Phone: 210-872-2016 |