Young-mi Pruden, MD | |
401 Matthew St, Marietta, OH 45750 | |
(740) 376-1994 | |
(740) 376-1940 |
Full Name | Young-mi Pruden |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 401 Matthew St, Marietta, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477783371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0012X | Internal Medicine - Sleep Medicine | 35.121720 (Ohio) | Secondary |
207L00000X | Anesthesiology | 35.121720 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Obici Hospital | Suffolk, VA | Hospital |
Southern Ohio Medical Center | Portsmouth, OH | Hospital |
Marietta Memorial Hospital | Marietta, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marietta Memorial Hospital | 8224928965 | 327 |
Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
Smg Anesthesia Specialists Llc | 6305081118 | 184 |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Entity Name | Marietta Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215936927 PECOS PAC ID: 8224928965 Enrollment ID: O20040317000973 |
Mailing Address | Practice Location Address |
---|---|
Young-mi Pruden, MD Po Box 449, Marietta, OH 45750-0449 Ph: (740) 374-4500 | Young-mi Pruden, MD 401 Matthew St, Marietta, OH 45750 Ph: (740) 376-1994 |
Howard C Larky, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-568-5427 Fax: 740-376-5073 | |
Michael P Gardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940 | |
Wolfgang Wadridge Nnchiiffor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-568-5427 | |
Joseph E. Castle, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1106 Colegate Dr, Marietta, OH 45750 Phone: 740-568-2000 Fax: 740-568-2089 | |
Eldon S. Reed, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-374-1580 Fax: 740-374-1940 | |
Daniel Fisher, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-568-5427 | |
Hanumantharao Medarametla, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940 |