Walter Jonathan Friedley, MD | |
1040 Delaware Aveneue, Marion, OH 43301-1814 | |
(740) 383-8090 | |
(740) 375-6481 |
Full Name | Walter Jonathan Friedley |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1040 Delaware Aveneue, Marion, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518925072 | NPI | - | NPPES |
2244360 | Medicaid | OH | |
311098079 | Other | TAX ID | |
1202702 | Other | UHC | |
7052274 | Other | AETNA | |
353077 | Other | SUBMITTER NO | |
000000202163 | Other | ANTHEM | |
311090079 | Other | CIGNA | |
370018677 | Other | TRAVELERS MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.079367 (Ohio) | Primary |
Entity Name | Marion Area Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
Mailing Address | Practice Location Address |
---|---|
Walter Jonathan Friedley, MD L-3549, Columbus, OH 43260-0001 Ph: (740) 383-7927 | Walter Jonathan Friedley, MD 1040 Delaware Aveneue, Marion, OH 43301-1814 Ph: (740) 383-8090 |
Dr. Richard Jonah Flaksman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-7936 Fax: 740-375-8174 | |
Syed Azim Bukhari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1073 Harding Memorial Pkwy, Suite A, Marion, OH 43302 Phone: 740-383-8579 Fax: 740-387-5244 | |
Beth Ann Baisden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8400 | |
Jackie Lee Quach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-8090 Fax: 740-375-6481 | |
Steven Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Aveneue, Marion, OH 43301 Phone: 740-383-8090 Fax: 740-383-7079 | |
Leonard J Janchar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 181 S Main St, Marion, OH 43302 Phone: 740-383-7927 Fax: 740-383-7942 |