| Dr Jonathan Pulido, MD | |
|
2094 E State St, Suite A, Salem, OH 44460-4409 | |
| (330) 337-2868 | |
| (330) 337-2875 |
| Full Name | Dr Jonathan Pulido |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 2094 E State St, Salem, 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 |
|---|---|---|---|
| 1336397009 | NPI | - | NPPES |
| 0077366 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35095914 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| East Liverpool City Hospital | East liverpool, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triad Health Services Llc | 9032367917 | 226 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Entity Name | Comprehensive Surgical Group Of Northeast Ohio Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831506369 PECOS PAC ID: 0941525349 Enrollment ID: O20150205001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Pulido, MD 2525 Southeast Blvd, Salem, OH 44460-3464 Ph: (330) 337-2868 | Dr Jonathan Pulido, MD 2094 E State St, Suite A, Salem, OH 44460-4409 Ph: (330) 337-2868 |
Dr. William S Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St, Suite A, Salem, OH 44460 Phone: 330-337-2868 Fax: 330-337-2875 | |
Dr. Ivan Darrell Pugh Jr., DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St, Suite A, Salem, OH 44460 Phone: 330-337-2868 Fax: 330-337-2875 | |
Danny E Sankovic, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 E State Street, Salem, OH 44460 Phone: 330-337-6000 Fax: 330-337-1272 | |
John Robert Madison, MD Surgery Medicare: Medicare Enrolled Practice Location: 2094 E State St Ste D, Salem, OH 44460 Phone: 330-337-7316 Fax: 330-337-1765 |