| Endocrinology Associates Of Ohio, Llc | |
|
3694 Starrs Centre Dr Canfield OH 44406-9514 | |
| (330) 702-1310 | |
| Not Available |
| Full Name | Endocrinology Associates Of Ohio, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3694 Starrs Centre Dr, Canfield, Ohio |
| Authorized Official Name and Position | Michael Derosa (PROPRIETOR) |
| Authorized Official Contact | 3307021310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Associates Of Ohio, Llc 3694 Starrs Centre Dr Canfield OH 44406-9514 Ph: (330) 702-1310 | Endocrinology Associates Of Ohio, Llc 3694 Starrs Centre Dr Canfield OH 44406-9514 Ph: (330) 702-1310 |
| NPI Number | 1942344387 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0446286330 |
|---|---|
| Medicare Enrollment ID | O20050712000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942344387 | NPI | - | NPPES |
| DD8266 | Other | OH | RAILROADMEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 34008028D (Ohio) | Primary |
| Provider Name | Michael A Derosa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770589194 PECOS PAC ID: 7315973203 Enrollment ID: I20050713000436 |
| Provider Name | Jill R Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922149103 PECOS PAC ID: 5496838732 Enrollment ID: I20080211000346 |
| Provider Name | Phyllis M Trust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194085811 PECOS PAC ID: 0143485383 Enrollment ID: I20120713000100 |
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