Paul W Kolodzik, MD | |
550 Mirabeau St, Greenfield, OH 45123-1617 | |
(937) 981-2216 | |
(937) 981-9238 |
Full Name | Paul W Kolodzik |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 550 Mirabeau St, Greenfield, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760422869 | NPI | - | NPPES |
0608006 | Medicaid | OH | |
000000537070 | Other | OH | ANTHEM |
P00206144 | Other | RAIL ROAD MEDICARE | |
201007380 | Medicaid | KY | |
P00111883 | Other | RAILROAD MEDICARE | |
000000329196 | Other | BLUE CROSS BLUE SHIELD | |
000000315973 | Other | BCBS FOR UVMC | |
000000316737 | Other | OH | BCBS |
000000351194 | Other | OH | ANTHEM BCBS/MARYSVILLE |
000000531260 | Other | OH | ANTHEM |
P00441746 | Other | OH | MEDICARE RAILROAD |
P00307842 | Other | RR MEDICARE FOR UVMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35052684 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Paul W Kolodzik, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Paul W Kolodzik, MD 550 Mirabeau St, Greenfield, OH 45123-1617 Ph: (937) 981-2216 |
Robert A. Sivier, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 550 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-2116 Fax: 937-981-9238 |