| Byron A Haworth, DO | |
|
500 Greene St, Cumberland, MD 21502-2755 | |
| (301) 724-7616 | |
| (301) 724-4811 |
| Full Name | Byron A Haworth |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 500 Greene St, Cumberland, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184616062 | NPI | - | NPPES |
| 052890100 | Medicaid | MD | |
| 0110279000 | Medicaid | WV | |
| 1580845 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | H50243 (Maryland) | Primary |
| Entity Name | Childrens Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528165750 PECOS PAC ID: 2264400761 Enrollment ID: O20040922000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Byron A Haworth, DO 500 Greene St, Cumberland, MD 21502-2755 Ph: (301) 724-7616 | Byron A Haworth, DO 500 Greene St, Cumberland, MD 21502-2755 Ph: (301) 724-7616 |
Dr. Sue Vauthier Raver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12501 Willowbrook Rd, Allegany County Health Department, Cumberland, MD 21501 Phone: 301-759-5001 Fax: 301-777-5674 | |
Susan M Nuber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
Michael Levitas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
Dr. Celestino Monzon Menchavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 915 Bishop Walsh Rd, Cumberland, MD 21502 Phone: 301-777-2722 Fax: 301-777-2736 | |
Robert J Dawson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
Rodney A Williams, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 |