Osagie Uwadia Ighile, MD | |
1010 Hager St, Saint Marys, OH 45885-2421 | |
(419) 394-9579 | |
(419) 394-9580 |
Full Name | Osagie Uwadia Ighile |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1010 Hager St, Saint Marys, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992236236 | NPI | - | NPPES |
0409682 | Medicaid | OH | |
0105065 | Other | OH | MEDICAID GROUP |
341689161 | Other | OH | TAX ID- JTDM FAMILY PRACTICE, LLC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.139784 (Ohio) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262 |
Mailing Address | Practice Location Address |
---|---|
Osagie Uwadia Ighile, MD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 300-1129 | Osagie Uwadia Ighile, MD 1010 Hager St, Saint Marys, OH 45885-2421 Ph: (419) 394-9579 |
Efren C Aganon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Hager St, Saint Marys, OH 45885 Phone: 419-394-9579 Fax: 419-394-9580 | |
Alexander Clayton Mast, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Hager St, Saint Marys, OH 45885 Phone: 419-394-9579 Fax: 419-394-9580 | |
Thomas Joseph Zegarski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Hager St, Saint Marys, OH 45885 Phone: 419-394-9579 Fax: 419-394-9580 |