| David R Didur, DO | |
|
400 Austin Ave Nw, Massillon, OH 44646-3598 | |
| (216) 837-7200 | |
| Not Available |
| Full Name | David R Didur |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 400 Austin Ave Nw, Massillon, 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 |
|---|---|---|---|
| 1033156104 | NPI | - | NPPES |
| 942460636418 | Other | OH | CARESOURCE |
| 0951493 | Medicaid | OH | |
| P00319997 | Other | OH | MEDICARE TRAVELERS RR-GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34005849 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pomerene Hospital | Millersburg, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pomerene Hospital | 5496856270 | 17 |
| Entity Name | Pomerene Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770957185 PECOS PAC ID: 5496856270 Enrollment ID: O20160208000863 |
| Mailing Address | Practice Location Address |
|---|---|
| David R Didur, DO 12521 Ellsworth Rd, North Jackson, OH 44451 Ph: () - | David R Didur, DO 400 Austin Ave Nw, Massillon, OH 44646-3598 Ph: (216) 837-7200 |
Gregory Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-493-4443 Fax: 330-493-8677 | |
Erik Schmeiser, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-832-8761 | |
Dr. John Stephen Current, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-837-6868 | |
Dr. Brian Keith Adams, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2021 Wales Ave Nw, Massillon, OH 44646 Phone: 330-834-3149 | |
Dr. Melissa Leutz, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-832-8761 | |
Gary Dale Richardson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Austin Ave Nw, Massillon, OH 44646 Phone: 216-837-7200 |