William Robert Christopher Wallis, OD | |
838 Market St, Zanesville, OH 43701 | |
(740) 452-9319 | |
(740) 452-2427 |
Full Name | William Robert Christopher Wallis |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 838 Market St, Zanesville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356317937 | NPI | - | NPPES |
0940245 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 34004926 (Ohio) | Primary |
Entity Name | Columbus Radiology Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
Mailing Address | Practice Location Address |
---|---|
William Robert Christopher Wallis, OD 838 Market St, Zanesville, OH 43701 Ph: (740) 452-9319 | William Robert Christopher Wallis, OD 838 Market St, Zanesville, OH 43701 Ph: (740) 452-9319 |
Shane Keith Backus, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 838 Market Street, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 | |
Coleene Gweneth Cooke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 838 Market St, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 | |
Jack Greenspan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 838 Market St, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 | |
Dr. Zehra Salim Kaka, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 Forest Ave, Zanesville, OH 43701 Phone: 740-454-5014 Fax: 740-455-7517 | |
Shalini Garg Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-5271 Fax: 740-455-7588 | |
Richard L Mellon, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 838 Market St, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 |