| Myton Medical Group, Inc. | |
|
3619 Park East Dr 205 S Beachwood OH 44122-4330 | |
| (216) 591-0942 | |
| (440) 834-1902 |
| Full Name | Myton Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3619 Park East Dr, Beachwood, Ohio |
| Authorized Official Name and Position | Kaye Myton-craig (OWNER) |
| Authorized Official Contact | 2165910942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myton Medical Group, Inc. 3619 Park East Dr 205 S Beachwood OH 44122-4330 Ph: (216) 591-0942 | Myton Medical Group, Inc. 3619 Park East Dr 205 S Beachwood OH 44122-4330 Ph: (216) 591-0942 |
| NPI Number | 1336229590 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 03/17/2014 |
| Medicare PECOS PAC ID | 4486661709 |
|---|---|
| Medicare Enrollment ID | O20060313000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336229590 | NPI | - | NPPES |
| 2144110 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35067681 (Ohio) | Primary |
| Provider Name | Kaye A Myton-craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750389441 PECOS PAC ID: 6901813229 Enrollment ID: I20100218000905 |
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