| Charles L Demario, MD | |
|
340 Ridge Road, Suite 1, Newton Falls, OH 44444 | |
| (330) 872-0330 | |
| (330) 872-7664 |
| Full Name | Charles L Demario |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 340 Ridge Road, Newton Falls, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629070552 | NPI | - | NPPES |
| 000000757681 | Other | OH | ANTHEM |
| 341609341059 | Other | OH | CARESOURCE |
| 000000171147 | Other | OH | UHC |
| 000000757533 | Other | OH | ANTHEM |
| 000000757696 | Other | OH | ANTHEM |
| 000000757512 | Other | OH | ANTHEM |
| 0564241 | Medicaid | OH | |
| C02792 | Other | OH | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35050888 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 35.050888 (Ohio) | Primary |
| 207Q00000X | Family Medicine | 35050888D (Ohio) | Secondary |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902347438 PECOS PAC ID: 2860688728 Enrollment ID: O20170515002104 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Demario, MD 340 Ridge Road, Suite 1, Newton Falls, OH 44444 Ph: (330) 872-0330 | Charles L Demario, MD 340 Ridge Road, Suite 1, Newton Falls, OH 44444 Ph: (330) 872-0330 |
Ian Seth Suzelis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43 W Broad St, Newton Falls, OH 44444 Phone: 330-235-7445 Fax: 216-201-8034 | |
Dr. John C. Baker, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1978 Milton Blvd, Newton Falls, OH 44444 Phone: 330-872-1336 | |
Samantha Allison Bosak, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 Ridge Rd Ste 1, Newton Falls, OH 44444 Phone: 330-872-0330 Fax: 330-872-3033 | |
Dr. Sara R Irvin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43 W Broad St, Newton Falls, OH 44444 Phone: 330-235-7445 Fax: 216-201-8034 |