Kevin Gerard Wietecha, DO | |
4634 Hills And Dales Rd Nw, Canton, OH 44708-1510 | |
(330) 477-0255 | |
(330) 477-7266 |
Full Name | Kevin Gerard Wietecha |
---|---|
Gender | Male |
Speciality | Endocrinology |
Experience | 33 Years |
Location | 4634 Hills And Dales Rd Nw, Canton, 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 |
---|---|---|---|
1669450557 | NPI | - | NPPES |
0247781 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 34-00-6364W (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aultman Hospital | Canton, OH | Hospital |
Aultman Orrville Hospital | Orrville, OH | Hospital |
Alliance Community Hospital | Alliance, OH | Hospital |
Mercy Medical Center | Canton, OH | Hospital |
Union Hospital | Dover, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Ohio Endocrinology | 1153329800 | 5 |
Entity Name | Northeast Ohio Endocrinology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255434494 PECOS PAC ID: 1153329800 Enrollment ID: O20061114000088 |
Mailing Address | Practice Location Address |
---|---|
Kevin Gerard Wietecha, DO 4634 Hills And Dales Rd Nw, Canton, OH 44708-1510 Ph: (330) 477-0255 | Kevin Gerard Wietecha, DO 4634 Hills And Dales Rd Nw, Canton, OH 44708-1510 Ph: (330) 477-0255 |
Nishad Avinash Barve, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Todd L Johnson, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718 Phone: 330-489-1386 Fax: 330-489-1258 | |
John C Tsai, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718 Phone: 330-489-1386 Fax: 330-489-1258 | |
David Andrew Beard, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-363-2180 | |
Yara Khouri, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-6235 | |
Dr. Mitchell Haut, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708 Phone: 330-453-9993 Fax: 330-453-9996 | |
Ramana Podugu, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Suite A2-710, Canton, OH 44710 Phone: 330-454-8076 Fax: 330-454-3927 |