| Dr Robert Edwin Exten Jr, MD | |
|
803 W Market St Ste 200, Lima, OH 45805-2796 | |
| (419) 222-3737 | |
| (419) 229-3234 |
| Full Name | Dr Robert Edwin Exten Jr |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 50 Years |
| Location | 803 W Market St Ste 200, Lima, Ohio |
| 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 |
|---|---|---|---|
| 1205832375 | NPI | - | NPPES |
| 830006430 | Other | OH | MEDICARE RAILRROAD |
| 000000142119 | Other | OH | ANTHEM |
| 0519460 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 35038459E (Ohio) | Secondary |
| 207RH0000X | Internal Medicine - Hematology | 35.038459 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Akron General Medical Center | Akron, OH | Hospital |
| Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
| Marion General Hospital | Marion, OH | Hospital |
| Hardin Memorial Hospital | Kenton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Edwin Exten Jr, MD 475 Lexington Ave, Mansfield, OH 44907-1501 Ph: (419) 756-2003 | Dr Robert Edwin Exten Jr, MD 803 W Market St Ste 200, Lima, OH 45805-2796 Ph: (419) 222-3737 |
Nadia Ghallab, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-4310 Fax: 419-226-4315 | |
Deena M Hassuna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 W Market St Ste 260, Lima, OH 45805 Phone: 199-964-0034 Fax: 419-996-5276 | |
Andrea Margarita Aquino Saludes, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 770 W High St Ste 210, Lima, OH 45801 Phone: 419-996-5053 Fax: 419-996-2688 | |
Mr. Tariq I Sheikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2793 Shawnee Rd, Lima, OH 45806 Phone: 419-227-8209 Fax: 419-222-6007 | |
Nathaniel Eric Quinn, MD, MPH, CPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9301 | |
Dr. Eliyazar Gaddam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 Commerce Pkwy, Suite 100, Lima, OH 45804 Phone: 419-224-5915 Fax: 419-224-5918 | |
Pratap Balusu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Ste 250, Lima, OH 45801 Phone: 419-227-7399 Fax: 419-229-0123 |