Dr Joni M Koren, DO | |
8701 Troy Pike, Suite 10, Huber Heights, OH 45424-1066 | |
(937) 237-5294 | |
(937) 237-4748 |
Full Name | Dr Joni M Koren |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 8701 Troy Pike, Huber Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154323368 | NPI | - | NPPES |
421534506041 | Other | OH | CARESOURCE |
63489 | Other | OH | AETNA |
34003916 | Other | OH | MEDICAL LICENSE |
000000227852 | Other | OH | ANTHEM |
0120586 | Other | OH | UNITED HEALTHCARE |
0663956 | Medicaid | OH | |
D0391605 | Other | OH | HUMANA/CHOICECARE |
080191715 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34003916K (Ohio) | Primary |
Entity Name | Providence Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006 |
Mailing Address | Practice Location Address |
---|---|
Dr Joni M Koren, DO 2912 Springboro W, Ste 201, Dayton, OH 45439-1674 Ph: (937) 297-8999 | Dr Joni M Koren, DO 8701 Troy Pike, Suite 10, Huber Heights, OH 45424-1066 Ph: (937) 237-5294 |
Daniel L Lui, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8701 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-558-3300 Fax: 937-558-3313 | |
Dr. Stephanie M Fronista-ward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6096 Brandt Pike, Huber Heights, OH 45424 Phone: 937-233-0132 Fax: 937-233-9127 | |
Mrs. Caitlyn Anne Frantz, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Old Troy Pike Ste 20, Huber Heights, OH 45424 Phone: 937-237-5294 Fax: 937-237-4748 | |
Brittany Elleen Crandell, MSN, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6251 Miami Valley Way Ste 210a, Huber Heights, OH 45424 Phone: 937-236-2155 | |
Dr. Eve Alison Connolly, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8701 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-558-3300 Fax: 937-558-3313 | |
Terri Lea Riddiford, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8701 Old Troy Pike, Suite 240, Huber Heights, OH 45424 Phone: 937-396-2880 Fax: 937-396-2205 |