Michelle Emelia Yaw, MD | |
575 Westar Xing, Suite 101, Westerville, OH 43082-7800 | |
(614) 508-2223 | |
(614) 508-2233 |
Full Name | Michelle Emelia Yaw |
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Gender | Female |
Speciality | Pediatrics |
Location | 575 Westar Xing, Westerville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093886947 | NPI | - | NPPES |
2064706 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35-072216 (Ohio) | Secondary |
208000000X | Pediatrics | 35.072216 (Ohio) | Primary |
Entity Name | Oh Independent Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497482111 PECOS PAC ID: 0648646034 Enrollment ID: O20221027000414 |
Mailing Address | Practice Location Address |
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Michelle Emelia Yaw, MD 575 Westar Xing, Suite 101, Westerville, OH 43082-7800 Ph: (614) 508-2223 | Michelle Emelia Yaw, MD 575 Westar Xing, Suite 101, Westerville, OH 43082-7800 Ph: (614) 508-2223 |
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 | |
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 |