| Darryl Glen Koop, MD | |
|
600 N Pickaway St, Circleville, OH 43113-2409 | |
| (740) 474-2126 | |
| (740) 477-1022 |
| Full Name | Darryl Glen Koop |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 600 N Pickaway St, Circleville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023068384 | NPI | - | NPPES |
| P00120093 | Other | RR CIRCLEVILLE | |
| 000000316757 | Other | OH | BCBS |
| 2055289 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35070336K (Ohio) | Primary |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Entity Name | Spero Health Of Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346748563 PECOS PAC ID: 4486030376 Enrollment ID: O20220929002575 |
| Mailing Address | Practice Location Address |
|---|---|
| Darryl Glen Koop, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Darryl Glen Koop, MD 600 N Pickaway St, Circleville, OH 43113-2409 Ph: (740) 474-2126 |
Luke James Schaffer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1434 Circleville Plaza Dr, Circleville, OH 43113 Phone: 740-571-9900 | |
Dr. John Arthur Ellis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 | |
Mr. Vernon Glick Bolender, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 Northridge Rd, Circleville, OH 43113 Phone: 740-474-3159 Fax: 740-474-2110 | |
Matthew Benjamin Johnston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Sharon Rd Ste D, Circleville, OH 43113 Phone: 740-420-8422 Fax: 740-420-6270 | |
Michael Frederick Flamm, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 | |
Misty Myers, CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 140 Morris Rd, Circleville, OH 43113 Phone: 740-420-3000 |