| David Robert Stukus, MD | |
|
7853 Pacer Dr, Delaware, OH 43015-7571 | |
| (614) 722-6200 | |
| Not Available |
| Full Name | David Robert Stukus |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Allergy/immunology |
| Location | 7853 Pacer Dr, Delaware, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164429213 | NPI | - | NPPES |
| H002810 | Other | OH | CGS - MEDICARE |
| 2549362 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 35083718 (Ohio) | Primary |
| 207K00000X | Allergy & Immunology | 35083718 (Ohio) | Secondary |
| Entity Name | Pediatric Academic Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
| Entity Name | Nationwide Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851179873 PECOS PAC ID: 0042385064 Enrollment ID: O20240214002279 |
| Mailing Address | Practice Location Address |
|---|---|
| David Robert Stukus, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | David Robert Stukus, MD 7853 Pacer Dr, Delaware, OH 43015-7571 Ph: (614) 722-6200 |
Jennifer Lynn Burkam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7420 Gooding Blvd Ste 100, Delaware, OH 43015 Phone: 740-657-8000 Fax: 740-657-8100 | |
Emily Sentman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Elizabeth Anne Claxton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Kathleen Degroft Blake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7420 Gooding Blvd Ste 100, Delaware, OH 43015 Phone: 740-657-8000 Fax: 740-657-8100 | |
Gregory B Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Dr. Natalie Ann Dick, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 Ohiohealth Blvd, Ste 200, Delaware, OH 43015 Phone: 740-615-0270 Fax: 740-615-0279 |