| Douglas Fall, MD | |
|
4001 Carrick Dr Ste 160, Medina, OH 44256-5392 | |
| (330) 723-7005 | |
| (330) 723-4854 |
| Full Name | Douglas Fall |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4001 Carrick Dr Ste 160, Medina, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205883899 | NPI | - | NPPES |
| 2315248 | Medicaid | OH | |
| 942460636083 | Other | OH | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35073387F (Ohio) | Secondary |
| 208000000X | Pediatrics | 35-073387 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Fall, MD 24701 Euclid Ave, Euclid, OH 44117-1714 Ph: (330) 723-7005 | Douglas Fall, MD 4001 Carrick Dr Ste 160, Medina, OH 44256-5392 Ph: (330) 723-7005 |
Tamika Patilla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 115, Medina, OH 44256 Phone: 330-764-3457 Fax: 330-764-3464 | |
Laurel E Roach-armao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4001 Carrick Dr Ste 160, Medina, OH 44256 Phone: 330-723-7005 Fax: 330-723-4854 | |
Jennifer Valentic, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3443 Medina Rd Ste 1153443, Medina, OH 44256 Phone: 330-764-3457 Fax: 330-764-3464 | |
Stacey J.p. Memberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4015 Medina Rd Ste 50, Medina, OH 44256 Phone: 330-723-7005 Fax: 330-723-4854 | |
Samantha Smith, Pediatrics Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700 | |
Martha L Myers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4001 Carrick Dr Ste 160, Medina, OH 44256 Phone: 330-723-7005 Fax: 330-723-4854 | |
Natalie P Jedacek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd Ste 115, Medina, OH 44256 Phone: 330-764-3457 Fax: 330-764-3464 |