| Dr Omoruyi C Irabor, MD, MPH | |
|
1401 W 12th Ave, Emporia, KS 66801-2570 | |
| (620) 342-1117 | |
| (855) 774-5285 |
| Full Name | Dr Omoruyi C Irabor |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 12 Years |
| Location | 1401 W 12th Ave, Emporia, Kansas |
| 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 |
|---|---|---|---|
| 1750944112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 04-49497 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newman Regional Health | Emporia, KS | Hospital |
| University Of Ks Hlth System Great Bend Campus | Great bend, KS | Hospital |
| St Catherine Hospital | Garden city, KS | Hospital |
| Susan B Allen Memorial Hospital | El dorado, KS | Hospital |
| Western Plains Medical Complex | Dodge city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Care Pa | 7911801014 | 15 |
| Heartland Oncology, Llc | 9638302342 | 2 |
| Entity Name | Central Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578532081 PECOS PAC ID: 7911801014 Enrollment ID: O20031120000823 |
| Entity Name | Heartland Oncology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487075537 PECOS PAC ID: 9638302342 Enrollment ID: O20150119000740 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omoruyi C Irabor, MD, MPH Po Box 256, Salina, KS 67402-0256 Ph: (785) 823-0633 | Dr Omoruyi C Irabor, MD, MPH 1401 W 12th Ave, Emporia, KS 66801-2570 Ph: (620) 342-1117 |
Dr. Claudia Perez-tamayo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W 12th Ave, Emporia, KS 66801 Phone: 620-342-1117 Fax: 855-774-5285 |