| Charles O Davis, PA | |
|
2981 W 4th St, Ontario, OH 44906-1267 | |
| (419) 709-8640 | |
| (419) 709-8641 |
| Full Name | Charles O Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 2981 W 4th St, Ontario, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851795892 | NPI | - | NPPES |
| 0112909 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.004153 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avita Ontario | Ontario, OH | Hospital |
| Galion Community Hospital | Galion, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Central Ohio Family Care Center Inc | 3274437082 | 176 |
| Galion Community Hospital | 5496737439 | 17 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles O Davis, PA 700 N Columbus St, Crestline, OH 44827-1455 Ph: (419) 468-0505 | Charles O Davis, PA 2981 W 4th St, Ontario, OH 44906-1267 Ph: (419) 709-8640 |
Stephen Brown, MSBS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Richland Mall, Ontario, OH 44906 Phone: 419-522-3751 | |
Rachael Lauren Zimmerman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2267 Village Mall Dr, Ontario, OH 44906 Phone: 419-951-2020 | |
Lauren Rachel Kauffman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 715 Richland Mall, Ontario, OH 44906 Phone: 567-307-7835 |