Timothy Dekoninck, MD | |
3525 Southern Blvd, 3525 Southern Blvd., Kettering, OH 45429-1221 | |
(937) 395-8839 | |
(937) 395-8387 |
Full Name | Timothy Dekoninck |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3525 Southern Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992230908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35.139183 (Ohio) | Primary |
Entity Name | Miami Valley Emergency Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 |
Mailing Address | Practice Location Address |
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Timothy Dekoninck, MD 1 Wyoming St, Dayton, OH 45409-2711 Ph: (937) 208-3356 | Timothy Dekoninck, MD 3525 Southern Blvd, 3525 Southern Blvd., Kettering, OH 45429-1221 Ph: (937) 395-8839 |
Matthew P Kiefaber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Sarah Valentine, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Dr. Stacey Lynn Poznanski, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3525 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8839 | |
Aditya Arora, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-436-4658 | |
Dr. Michael Edward Dowler, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Emergency Department, Kettering, OH 45429 Phone: 937-395-8166 | |
Dr. Zena Jalloh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429 Phone: 800-875-0136 | |
Robert S Orosz, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-436-4658 |