Patricia Witman, MD | |
555 S 18th St, Columbus, OH 43205-2654 | |
(614) 722-6200 | |
Not Available |
Full Name | Patricia Witman |
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Gender | Female |
Speciality | Dermatology - Pediatric Dermatology |
Location | 555 S 18th St, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457331084 | NPI | - | NPPES |
2710623 | Medicaid | OH | |
4201372 | Other | OH | CGS - MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35089060 (Ohio) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | 35089060 (Ohio) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Mailing Address | Practice Location Address |
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Patricia Witman, MD 700 Children's Drive, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Patricia Witman, MD 555 S 18th St, Columbus, OH 43205-2654 Ph: (614) 722-6200 |
Benjamin Harris Kaffenberger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1328 Dublin Rd Ste 100, Columbus, OH 43215 Phone: 614-293-1707 Fax: 614-293-1716 | |
Dr. Alecia Marie Blaszczak, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-688-4497 | |
Joy L Mosser-goldfarb, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 555 S 18th St, Columbus, OH 43205 Phone: 614-722-6200 | |
Mary Jo Kendrick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214 Phone: 614-268-2748 Fax: 614-263-3376 | |
Michael C Chen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1830 Bethel Rd Ste C, Columbus, OH 43220 Phone: 614-754-8781 Fax: 614-754-8924 | |
Clem Ryan Kirkland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214 Phone: 614-268-2748 Fax: 614-263-3376 | |
Stephanie K. Fabbro, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4300 Clime Rd Ste 100, Columbus, OH 43228 Phone: 614-887-7723 Fax: 614-639-8003 |