| Dr Richard Mark Shivers, MD | |
|
564 E 2nd St, Salem, OH 44460-2914 | |
| (234) 567-8150 | |
| (234) 567-8189 |
| Full Name | Dr Richard Mark Shivers |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 564 E 2nd St, Salem, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639268352 | NPI | - | NPPES |
| 0975995 | Medicaid | OH | |
| P01712254 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-065781 (Ohio) | Primary |
| Entity Name | Shivers Medical Services Limited |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679239727 PECOS PAC ID: 8820489107 Enrollment ID: O20211221000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Mark Shivers, MD 9471 Market St, Ste B, North Lima, OH 44452-8702 Ph: (330) 729-2388 | Dr Richard Mark Shivers, MD 564 E 2nd St, Salem, OH 44460-2914 Ph: (234) 567-8150 |
Michael Edward Madison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St Ste B, Salem, OH 44460 Phone: 330-337-8709 | |
Dr. Michael J Sevilla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2370 Southeast Blvd, Salem, OH 44460 Phone: 330-332-9961 | |
Dr. James Ervin Friedl Iii, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 E State St Ste C, Salem, OH 44460 Phone: 330-332-7807 Fax: 330-332-7809 | |
Dr. Richard L Banning, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2370 Southeast Blvd, Salem, OH 44460 Phone: 330-332-9961 | |
Dr. Constantine V Economous, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2370 Southeast Blvd, Salem, OH 44460 Phone: 330-332-9961 | |
Joseph Miladore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 E State St Ste C, Salem, OH 44460 Phone: 330-332-7807 Fax: 330-332-7809 | |
Dr. Joseph James Rousher, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 718 E 3rd St, Salem, OH 44460 Phone: 330-639-0880 Fax: 877-569-1798 |