William Kyle Mudd, DO | |
970 E Washington St, Medina, OH 44256 | |
(330) 721-5700 | |
Not Available |
Full Name | William Kyle Mudd |
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Gender | Male |
Speciality | Pediatrics |
Location | 970 E Washington St, Medina, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730575291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34.013439 (Ohio) | Primary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
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William Kyle Mudd, DO 970 E Washington St, Medina, OH 44256-3332 Ph: (330) 721-5700 | William Kyle Mudd, DO 970 E Washington St, Medina, OH 44256 Ph: (330) 721-5700 |
Tamika Patilla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 115, Medina, OH 44256 Phone: 330-764-3457 Fax: 330-764-3464 | |
Laurel E Roach-armao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4001 Carrick Dr Ste 160, Medina, OH 44256 Phone: 330-723-7005 Fax: 330-723-4854 | |
Jennifer Valentic, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3443 Medina Rd Ste 1153443, Medina, OH 44256 Phone: 330-764-3457 Fax: 330-764-3464 | |
Stacey J.p. Memberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4015 Medina Rd Ste 50, Medina, OH 44256 Phone: 330-723-7005 Fax: 330-723-4854 | |
Samantha Smith, Pediatrics Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700 | |
Martha L Myers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4001 Carrick Dr Ste 160, Medina, OH 44256 Phone: 330-723-7005 Fax: 330-723-4854 | |
Natalie P Jedacek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd Ste 115, Medina, OH 44256 Phone: 330-764-3457 Fax: 330-764-3464 |