Susan L Kloth, CNM | |
9000 N Main St, Suite 232, Dayton, OH 45415-1180 | |
(937) 277-8988 | |
(937) 277-9035 |
Full Name | Susan L Kloth |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 9000 N Main St, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609871466 | NPI | - | NPPES |
2199580 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | COA.05496-NM (Ohio) | Primary |
Entity Name | Premier Health Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Mailing Address | Practice Location Address |
---|---|
Susan L Kloth, CNM 9000 N Main St, Suite 232, Dayton, OH 45415-1180 Ph: (937) 277-8988 | Susan L Kloth, CNM 9000 N Main St, Suite 232, Dayton, OH 45415-1180 Ph: (937) 277-8988 |
Carla Renee King, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 232, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-277-9035 | |
Jalana N Lazar, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-832-2421 | |
Donna M Gau-jata, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2007 | |
Deborah Jean Ruxer, RN, MS, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Good Samaritan Hospital, The Family Birthing Center, Dayton, OH 45406 Phone: 937-278-2612 Fax: 937-223-9735 | |
Mrs. Kimberly J Breneman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-832-2421 | |
Dr. Shenika Ashley Zarebski, DO Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 30 E Apple St Ste 6258, Dayton, OH 45409 Phone: 937-208-8000 |