| Christine M Slotta, MD | |
|
4176 State Route 306, Willoughby, OH 44094-9203 | |
| (440) 918-4630 | |
| (440) 918-4612 |
| Full Name | Christine M Slotta |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 4176 State Route 306, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700875465 | NPI | - | NPPES |
| 2246699 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35077565S (Ohio) | Primary |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Obhg Ohio Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596257 PECOS PAC ID: 6406281492 Enrollment ID: O20200122000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine M Slotta, MD Po Box 781389, Detroit, MI 48278-1389 Ph: (440) 918-4630 | Christine M Slotta, MD 4176 State Route 306, Willoughby, OH 44094-9203 Ph: (440) 918-4630 |
Janie M Zart, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4610 | |
Thomesha Marie Barton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4632 | |
Liese K Vito, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4654 | |
Cynthia R Boes, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4612 | |
Dr. Rebecca Elizabeth Crockett, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Road, Suite 201, Willoughby, OH 44094 Phone: 440-602-6710 Fax: 440-269-8107 | |
Dr. Shannon Charisse Gilham, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4632 | |
Wendy J Clinger, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4610 |