| Alan Leroy Prok, MD | |
|
4619 Kenny Rd, Columbus, OH 43220-2779 | |
| (614) 457-8180 | |
| Not Available |
| Full Name | Alan Leroy Prok |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 26 Years |
| Location | 4619 Kenny Rd, Columbus, 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 |
|---|---|---|---|
| 1255380630 | NPI | - | NPPES |
| 2670917 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35085538 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Atrium Medical Center | Franklin, OH | Hospital |
| Upper Valley Medical Center | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Pathologists, Inc | 7214821289 | 11 |
| Entity Name | Valley Pathologists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992798854 PECOS PAC ID: 7214821289 Enrollment ID: O20040211000025 |
| Entity Name | Challa Ajit Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629142815 PECOS PAC ID: 7012916232 Enrollment ID: O20061215000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Leroy Prok, MD 1 Wyoming St, Dayton, OH 45409-2722 Ph: () - | Alan Leroy Prok, MD 4619 Kenny Rd, Columbus, OH 43220-2779 Ph: (614) 457-8180 |
Nicholas T Wongchaowart, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Dr. Leo Anthony Niemeier, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept - Corpath, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Aharon Gideon Freud, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-292-5905 Fax: 614-293-4715 | |
Dr. Wegahta Tesfay Weldemichael, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 | |
Yafet Mamo, MD Pathology Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr # Ed3025c2, Columbus, OH 43205 Phone: 614-722-5315 Fax: 614-355-1597 | |
Dr. Allen Green Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 500 Thomas Ln Ste 3a, Columbus, OH 43214 Phone: 843-331-8330 | |
Iouri Ivanov, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 |