Dr Samuel Kwami Dzodzomenyo, MD | |
1 Childrens Plz, Dayton, OH 45404-1815 | |
(937) 641-4000 | |
(937) 641-4500 |
Full Name | Dr Samuel Kwami Dzodzomenyo |
---|---|
Gender | Male |
Speciality | Sleep Medicine |
Experience | 38 Years |
Location | 1 Childrens Plz, Dayton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407857063 | NPI | - | NPPES |
64086143 | Medicaid | KY | |
0249270 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 35070439 (Ohio) | Secondary |
2080S0012X | Pediatrics - Sleep Medicine | 35.070439 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dayton Childrens Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dayton Childrens Specialty Physicians Inc | 5496916124 | 16 |
Entity Name | Dayton Childrens Specialty Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Kwami Dzodzomenyo, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Dr Samuel Kwami Dzodzomenyo, MD 1 Childrens Plz, Dayton, OH 45404-1815 Ph: (937) 641-4000 |
Hemanth Shimoga Lingadevaru, MD,MPH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 Fax: 937-641-3107 | |
Tanya Paul, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 | |
Dr. Sara Frances Guerrero-duby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Dr. Rory Jon Peppard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409 Phone: 937-208-2907 Fax: 937-208-4515 | |
Dr. Emmett H Broxson Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3111 Fax: 937-641-5885 | |
Dr. Ramakrishna Mutyala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 934-641-4500 | |
Bryce Lawrence Willen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 |