| Brian W Ondulick, DO | |
|
3535 Pentagon Blvd, Suite 320, Beavercreek, OH 45431-1705 | |
| (937) 490-2270 | |
| (937) 490-2272 |
| Full Name | Brian W Ondulick |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 3535 Pentagon Blvd, Beavercreek, 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 |
|---|---|---|---|
| 1336129485 | NPI | - | NPPES |
| 2495787 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34-00-7860-O (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Soin Medical Center | Beaver creek, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Greene Memorial Hospital | Xenia, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Jtdm Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian W Ondulick, DO 3535 Pentagon Blvd, Suite 320, Beavercreek, OH 45431-1705 Ph: (937) 490-2270 | Brian W Ondulick, DO 3535 Pentagon Blvd, Suite 320, Beavercreek, OH 45431-1705 Ph: (937) 490-2270 |
Dr. Alberto Jose Lopez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4447 Somerset Path, Beavercreek, OH 45440 Phone: 216-965-7384 | |
Sunishka M Wimalawansa, M.D., M.B.A. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2361 Lakeview Dr, Beavercreek, OH 45431 Phone: 937-704-2130 Fax: 937-704-2140 | |
Christopher Robert Schneider, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7900 | |
Dr. Wesley Javeed Johnson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270 Fax: 937-490-2272 | |
Alyssa Jennifer Gans, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 330, Beavercreek, OH 45431 Phone: 937-395-8556 Fax: 937-395-6376 | |
Dr. Jacob Carmen Yannetta Iii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Fairfield Rd, Ste. B, Beavercreek, OH 45431 Phone: 937-458-0025 Fax: 937-458-0212 |