| David M Podboy, MD | |
|
1250 Ralston Ave Ste 205, Defiance, OH 43512-5310 | |
| (419) 782-5774 | |
| (419) 782-6103 |
| Full Name | David M Podboy |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 14 Years |
| Location | 1250 Ralston Ave Ste 205, Defiance, 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 |
|---|---|---|---|
| 1790075414 | NPI | - | NPPES |
| 126179 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35126890 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Promedica Defiance Regional Hospital | Defiance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 830 |
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Memorial Professional Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205139623 PECOS PAC ID: 1456531870 Enrollment ID: O20110202000164 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Podboy, MD 333 N Summit St Fl 7, Toledo, OH 43604-1531 Ph: () - | David M Podboy, MD 1250 Ralston Ave Ste 205, Defiance, OH 43512-5310 Ph: (419) 782-5774 |
Dr. Bruce Lee Kinney, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-2799 | |
Dr. Robert Rowan Summers, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Kermit R Erwin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1250 Ralston Ave, Suite 205, Defiance, OH 43512 Phone: 419-782-5774 Fax: 419-782-6103 |