| Dr Kevin Glen Doherty, DO | |
|
6511 Taggart Rd, Delaware, OH 43015-8893 | |
| (740) 548-6180 | |
| (740) 548-1882 |
| Full Name | Dr Kevin Glen Doherty |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 6511 Taggart Rd, Delaware, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518069236 | NPI | - | NPPES |
| 000000319608 | Other | BCBS GREENFIELD | |
| 000000591796 | Other | OH | BCBS FAYETTE |
| 0861367 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34.005332 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 34005332 (Ohio) | Primary |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| 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 |
| Entity Name | Ohio Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Glen Doherty, DO 6511 Taggart Rd, Delaware, OH 43015-8893 Ph: (740) 548-6180 | Dr Kevin Glen Doherty, DO 6511 Taggart Rd, Delaware, OH 43015-8893 Ph: (740) 548-6180 |
Amy Katherine Ramey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-369-8711 Fax: 740-368-5050 | |
David Anthony Sestak, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Sunbury Rd, Delaware, OH 43015 Phone: 740-363-3133 Fax: 740-363-3135 | |
Matthew J. Sanders, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-369-8711 Fax: 740-368-5050 | |
David Trinco, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-1000 | |
David D Watson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-1153 Fax: 740-615-1150 | |
Misty E Arnold, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-369-8711 Fax: 740-368-5050 | |
Thomas Jams Zuesi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-1169 Fax: 740-615-1173 |