David M Podboy, MD | |
1250 Ralston Ave Ste 205, Defiance, OH 43512-5310 | |
(419) 782-5774 | |
(419) 782-6103 |
Full Name | David M Podboy |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 13 Years |
Location | 1250 Ralston Ave Ste 205, Defiance, 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 |
---|---|---|---|
1790075414 | NPI | - | NPPES |
126179 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 35126890 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Defiance Regional Hospital | Defiance, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Promedica Central Physicians | 2365348190 | 827 |
Promedica Central Physicians | 2365348190 | 827 |
Entity Name | Promedica Central Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Entity Name | Memorial Professional Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205139623 PECOS PAC ID: 1456531870 Enrollment ID: O20110202000164 |
Mailing Address | Practice Location Address |
---|---|
David M Podboy, MD 333 N Summit St Fl 7, Toledo, OH 43604-1531 Ph: () - | David M Podboy, MD 1250 Ralston Ave Ste 205, Defiance, OH 43512-5310 Ph: (419) 782-5774 |
Dr. Bruce Lee Kinney, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-2799 | |
Dr. Robert Rowan Summers, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Kermit R Erwin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1250 Ralston Ave, Suite 205, Defiance, OH 43512 Phone: 419-782-5774 Fax: 419-782-6103 |