Shana Allie Vore, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(855) 446-5937 | |
(740) 446-5711 |
Full Name | Shana Allie Vore |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144424698 | NPI | - | NPPES |
2776474 | Medicaid | OH | |
3810027160 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 26238 (West Virginia) | Secondary |
208000000X | Pediatrics | 35090525 (Ohio) | Primary |
Entity Name | Children's Hospital Medical Center Of Akron |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841328853 PECOS PAC ID: 0648183012 Enrollment ID: O20031111000484 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Shana Allie Vore, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5000 | Shana Allie Vore, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (855) 446-5937 |
Jon M. Sullivan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Mr. Jacob Lawrence Pessia, MS IV Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
Pradeep K. Kandula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Il H. Kim, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 |