| Douglas Matthew Iddings, DO | |
|
302 Kensington Ave, Flint, MI 48503-2044 | |
| (810) 762-8092 | |
| (810) 762-8892 |
| Full Name | Douglas Matthew Iddings |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 27 Years |
| Location | 302 Kensington Ave, Flint, Michigan |
| 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 |
|---|---|---|---|
| 1023233384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 5101014246 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cardinal Hospice | Oxford, MI | Hospice |
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Covenant Medical Center | Saginaw, MI | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Monroe Physicians Pllc | 2365696176 | 58 |
| Entity Name | Hurley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
| Entity Name | Douglas M Iddings Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356572135 PECOS PAC ID: 4183748361 Enrollment ID: O20100824001186 |
| Entity Name | Promedica Monroe Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194078055 PECOS PAC ID: 2365696176 Enrollment ID: O20130201000483 |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Matthew Iddings, DO 302 Kensington Ave, Flint, MI 48503-2044 Ph: (810) 762-8092 | Douglas Matthew Iddings, DO 302 Kensington Ave, Flint, MI 48503-2044 Ph: (810) 762-8092 |
Pongchayut Surapipith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 S Ballenger Hwy, Flint, MI 48532 Phone: 810-342-1000 Fax: 810-342-1590 | |
Tyler Wundrach, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz # 7b, Flint, MI 48503 Phone: 810-262-9355 Fax: 810-262-6341 | |
Dr. Linsey P Gold, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2486 Nerredia St, Suite A, Flint, MI 48532 Phone: 810-720-9900 Fax: 810-720-0011 | |
Dr. Ghassan Al Ramahi, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: One Hurley Plaza, 7b Floor , Trauma Service, Flint, MI 48503 Phone: 810-262-9456 Fax: 810-262-6341 | |
Dr. Tareq Ismail Maraqa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-6023 | |
Mr. Tarik J Wasfie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1127 Villa Linde Ct, Flint, MI 48532 Phone: 810-720-2710 Fax: 810-720-5230 |