| Dr John A Ireton, DO | |
|
1383 W Hunter St, Logan, OH 43138-1013 | |
| (740) 385-0202 | |
| (740) 380-2734 |
| Full Name | Dr John A Ireton |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 1383 W Hunter St, Logan, 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 |
|---|---|---|---|
| 1821087610 | NPI | - | NPPES |
| 000000319556 | Other | ANTHEM | |
| 51048032500 | Other | WC | |
| 2449774 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34008170 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hocking Valley Community Hospital | Logan, OH | Hospital |
| Fairfield Medical Center | Lancaster, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osup Community Outreach Llc | 5799008082 | 120 |
| Entity Name | Hospital Medicine Services Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073781597 PECOS PAC ID: 6103997747 Enrollment ID: O20080625000293 |
| Entity Name | Osup Community Outreach Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John A Ireton, DO Po Box 228, Logan, OH 43138-0228 Ph: (740) 380-8000 | Dr John A Ireton, DO 1383 W Hunter St, Logan, OH 43138-1013 Ph: (740) 385-0202 |
Jose R Villavicencio, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 St Rt 664, Logan, OH 43138 Phone: 740-380-8000 | |
Dr. Darren J Sommer, D.O Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Mistafa A. Hafid, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Dr. Enovwo Eloho Ohwofahworaye, PHARMD, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 | |
Shivaprakash T Kudlapur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3750 |