Timothy J Shin, MD | |
715 Richland Mall, Ontario, OH 44906-3802 | |
(419) 775-1091 | |
Not Available |
Full Name | Timothy J Shin |
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Gender | Male |
Speciality | Otolaryngology |
Location | 715 Richland Mall, Ontario, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386138535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 11020016A (Indiana) | Primary |
Entity Name | North Central Ohio Family Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
Mailing Address | Practice Location Address |
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Timothy J Shin, MD 700 N Columbus St, Crestline, OH 44827-1455 Ph: (419) 462-3485 | Timothy J Shin, MD 715 Richland Mall, Ontario, OH 44906-3802 Ph: (419) 775-1091 |
Dr. Daniel E Wade Jr., D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1770 W 4th St, Ontario, OH 44906 Phone: 195-202-0654 | |
Dr. Michael Barat, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 715 Richland Mall, Ontario, OH 44906 Phone: 419-775-1091 | |
Dr. Debra Jean Celec, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1987 W 4th St Suite 200, Ontario, OH 44906 Phone: 419-564-4299 |