Lori L Woolison Rutter, DO | |
75 Hospital Dr Ste 350, Athens, OH 45701-2867 | |
(740) 592-7040 | |
(740) 592-7041 |
Full Name | Lori L Woolison Rutter |
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Gender | Female |
Speciality | Pediatrics |
Location | 75 Hospital Dr Ste 350, Athens, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689605255 | NPI | - | NPPES |
2670328 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34 008738 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Athens Medical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982714358 PECOS PAC ID: 9537112685 Enrollment ID: O20050301000331 |
Mailing Address | Practice Location Address |
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Lori L Woolison Rutter, DO Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Lori L Woolison Rutter, DO 75 Hospital Dr Ste 350, Athens, OH 45701-2867 Ph: (740) 592-7040 |
Jessica L Marcum, CNP Pediatrics Medicare: Medicare Enrolled Practice Location: 2131 E State St, Athens, OH 45701 Phone: 740-589-3100 | |
Jessica A. James, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2131 E State St, Athens, OH 45701 Phone: 740-589-3100 Fax: 740-589-3123 | |
Dr. James Richard Gaskell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 278 W Union St, Athens, OH 45701 Phone: 740-592-4431 Fax: 740-594-2370 | |
Katherine Ernst Frank, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2131 E State St, Athens, OH 45701 Phone: 855-446-5937 | |
Dr. Charles Thomas Clark, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 313 Parks Hall, Athens, OH 45701 Phone: 740-593-2444 Fax: 740-593-0905 | |
Connie Jo Mccarroll, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 313 Parks Hall, Athens, OH 45701 Phone: 740-593-2444 Fax: 740-593-0905 |