Phillip Arthur Immesoete Ii, MD | |
770 W High St Ste 160, Lima, OH 45801-5900 | |
(419) 995-4960 | |
(419) 995-4961 |
Full Name | Phillip Arthur Immesoete Ii |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 770 W High St Ste 160, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609089317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 35.090300 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Mailing Address | Practice Location Address |
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Phillip Arthur Immesoete Ii, MD 770 W High St Ste 160, Lima, OH 45801-5900 Ph: (419) 995-4960 | Phillip Arthur Immesoete Ii, MD 770 W High St Ste 160, Lima, OH 45801-5900 Ph: (419) 995-4960 |
Dr. Fredric Lax, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 770 W High St, Suite 390, Lima, OH 45801 Phone: 419-996-5202 | |
Asem Salma, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-996-4960 Fax: 419-995-4961 | |
Robert Love Baker Ii, DO Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1003 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Dr. Monica W Loke, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 225, Lima, OH 45804 Phone: 419-998-8200 Fax: 419-998-8203 | |
Dr. Jeffrey Stuart Lobel, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Charles Owen Wood, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-995-4960 Fax: 419-995-4961 | |
Dr. David Alan Cooley, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave Ste 100, Lima, OH 45804 Phone: 419-998-8234 Fax: 419-998-8233 |