Timothy J Hogan, DO | |
265 W Union St, Suite A, Athens, OH 45701-2313 | |
(740) 594-2456 | |
(740) 594-9630 |
Full Name | Timothy J Hogan |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 265 W Union St, Athens, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235109828 | NPI | - | NPPES |
5619197341A11 | Other | OH | BLUECROSS BLUESHIELD |
0934341 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 34005731 (Ohio) | Secondary |
207Q00000X | Family Medicine | 34005731 (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 |
Entity Name | State Of Ohio Office Of Budget And Management State Accounting |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023082716 PECOS PAC ID: 0143133181 Enrollment ID: O20031202000209 |
Entity Name | Athens Medical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982714358 PECOS PAC ID: 9537112685 Enrollment ID: O20050301000331 |
Mailing Address | Practice Location Address |
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Timothy J Hogan, DO 5450 Frantz Rd Ste 360, Dublin, OH 43016-4141 Ph: (614) 544-6155 | Timothy J Hogan, DO 265 W Union St, Suite A, Athens, OH 45701-2313 Ph: (740) 594-2456 |
Dr. Beryl R Fruth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 510b W Union St, Athens, OH 45701 Phone: 740-593-7314 | |
Dr. Joseph Allen Holtel, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 | |
Dr. Tracy Lynne Shaub, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2nd Floor Parks Hall, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 | |
Lara Householder, Family Medicine Medicare: Medicare Enrolled Practice Location: 26 E Park Dr Ste 105c, Athens, OH 45701 Phone: 740-423-4015 | |
Krista M Duval, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 | |
Brooke Nicole Dorothy Smith, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26 Hospital Drive, 2nd Floor, Athens, OH 45701 Phone: 740-249-4122 | |
Melinda E Ford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 W Green Dr Ste 246, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 |