| Dr Quang Kim Le, MD | |
| 
					615 Fulton St, Port Clinton, OH 43452-2001  | |
| (419) 734-3131 | |
| Not Available | 
| Full Name | Dr Quang Kim Le | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 615 Fulton St, Port Clinton, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003928623 | NPI | - | NPPES | 
| 2190972 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-074958 (Ohio) | Secondary | 
| 207P00000X | Emergency Medicine | 35.074958 (Ohio) | Primary | 
| Entity Name | H.b. Magruder Memorial Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922079532 PECOS PAC ID: 8921915786 Enrollment ID: O20031205000057  | 
| 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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Quang Kim Le, MD 26700 Brookpark Road Ext, Suite 1, North Olmsted, OH 44070-3124 Ph: (440) 716-0800  | Dr Quang Kim Le, MD 615 Fulton St, Port Clinton, OH 43452-2001 Ph: (419) 734-3131  | 
Richard L Kendall, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 135 W Perry St, Port Clinton, OH 43452 Phone: 419-732-7800 Fax: 419-797-4843  | |
Scott Donald Zgrabik, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131 Fax: 419-732-4007  | |
Dr. Timothy Herbert Omley, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131  | |
Dr. Reginald Keith Franklin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131  |