Thomas M Shackleford, DO | |
3333 Burnet Ave, Ml 2001, Cincinnati, OH 45229 | |
(513) 636-4408 | |
(513) 636-7337 |
Full Name | Thomas M Shackleford |
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Gender | Male |
Speciality | Anesthesiology |
Location | 3333 Burnet Ave, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508824947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 34.008285 (Ohio) | Primary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Thomas M Shackleford, DO 3333 Burnet Ave, Ml 5021, Cincinnati, OH 45220 Ph: (513) 636-4225 | Thomas M Shackleford, DO 3333 Burnet Ave, Ml 2001, Cincinnati, OH 45229 Ph: (513) 636-4408 |
Alexander Topala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Mail Location 0796, Cincinnati, OH 45219 Phone: 513-584-1000 | |
Melanie Russell-gillette, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-6356 | |
Eli Cianciolo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4805 Montgomery Rd, Suite 210, Cincinnati, OH 45212 Phone: 513-791-6400 Fax: 513-791-5306 | |
Angel Joshua Pagan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-6356 | |
Erik Maxwell Vitins Mckee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3188 Bellevue Ave, Cincinnati, OH 45219 Phone: 513-584-1000 | |
Dave Wright, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-585-2422 Fax: 513-585-3245 | |
Robert S Jacob, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-672-3309 Fax: 513-672-3323 |