| Steven B. Dood, M.d., Llc | |
|
140 South River Road Waterville OH 43566 | |
| (419) 878-8513 | |
| (419) 878-8515 |
| Full Name | Steven B. Dood, M.d., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 140 South River Road, Waterville, Ohio |
| Authorized Official Name and Position | Steven B. Dood (OWNER) |
| Authorized Official Contact | 4198788513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven B. Dood, M.d., Llc 140 South River Road Waterville OH 43566 Ph: (419) 878-8513 | Steven B. Dood, M.d., Llc 140 South River Road Waterville OH 43566 Ph: (419) 878-8513 |
| NPI Number | 1184808453 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 06/17/2011 |
| Medicare PECOS PAC ID | 9335168913 |
|---|---|
| Medicare Enrollment ID | O20150102001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184808453 | NPI | - | NPPES |
| 0184965 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35067037 (Ohio) | Primary |
| Provider Name | Diane G Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740278530 PECOS PAC ID: 5597748558 Enrollment ID: I20040610000800 |
| Provider Name | Steven B Dood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730140203 PECOS PAC ID: 5294779914 Enrollment ID: I20050614000727 |
| Provider Name | Gina M Musa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043643125 PECOS PAC ID: 9537399779 Enrollment ID: I20140307000972 |
| Provider Name | Sarah Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659787679 PECOS PAC ID: 7517280548 Enrollment ID: I20141226000166 |
Waterville Family Physicians Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Waterville Monclova Rd, Ste A, Waterville, OH 43566 Phone: 419-878-2026 Fax: 419-878-3236 | |
The Ellis House Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 S 2nd St, Waterville, OH 43566 Phone: 419-277-9843 Fax: 419-710-8558 |