Michael Andrew Dever, | |
627 Eastland Ave Se, Warren, OH 44484-4501 | |
(330) 841-4477 | |
(330) 841-4505 |
Full Name | Michael Andrew Dever |
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Gender | Male |
Speciality | Surgery |
Location | 627 Eastland Ave Se, Warren, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891282935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301508579 (Michigan) | Primary |
Entity Name | Ascension St John Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Entity Name | Ascension River District Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265486245 PECOS PAC ID: 0446153407 Enrollment ID: O20040203000465 |
Mailing Address | Practice Location Address |
---|---|
Michael Andrew Dever, 2328 S Lakeline Dr, Salt Lake City, UT 84109-1462 Ph: (801) 502-8392 | Michael Andrew Dever, 627 Eastland Ave Se, Warren, OH 44484-4501 Ph: (330) 841-4477 |
Consandre Pierre Romain, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne, Warren, OH 44484 Phone: 330-306-6936 Fax: 330-306-6937 | |
Rao Sudheendra, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4100 Youngstown Rd Se, Warren, OH 44484 Phone: 330-306-0300 Fax: 330-306-0700 | |
Dr. Mohammad Rashid, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1451 E Market St, Warren, OH 44483 Phone: 330-393-7450 Fax: 330-392-6745 | |
Dr. Robert W. Woodruff Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 627 Eastland Ave Se Ste 201, Warren, OH 44484 Phone: 330-841-4661 Fax: 330-841-4565 | |
Dr. Janet L Shiley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 983 Niles Cortland Rd Se, Warren, OH 44484 Phone: 330-856-9960 Fax: 330-856-9981 | |
Pablo Gabriel Giuseppucci, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1353 E Market St, Warren, OH 44483 Phone: 330-841-2012 Fax: 330-841-2016 | |
Dr. Joseph Alvin Martin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 627 Eastland Ave Se Ste 201, Warren, OH 44484 Phone: 330-841-4477 Fax: 330-841-4505 |