| Dr Rogelio Virgilio B Amisola, MD | |
|
1425 N Fairfield Rd., 120, Beavercreek, OH 45432-4543 | |
| (937) 320-8888 | |
| (937) 320-3848 |
| Full Name | Dr Rogelio Virgilio B Amisola |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1425 N Fairfield Rd., Beavercreek, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336106111 | NPI | - | NPPES |
| 2507246 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 35-08-4304 (Ohio) | Secondary |
| 208000000X | Pediatrics | 35-08-4304 (Ohio) | Primary |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rogelio Virgilio B Amisola, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Dr Rogelio Virgilio B Amisola, MD 1425 N Fairfield Rd., 120, Beavercreek, OH 45432-4543 Ph: (937) 320-8888 |
Sara Marie Diskin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432 Phone: 937-320-1950 Fax: 937-320-9332 | |
Krista G Gelford, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 N Fairfield Rd Ste C, Beavercreek, OH 45434 Phone: 937-427-2112 Fax: 937-427-2215 | |
Dr. Matthew G Hardwick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1425 N Fairfield Rd., Ste 120, Beavercreek, OH 45432 Phone: 937-320-3888 Fax: 937-320-3848 | |
Michael Robert Chaka, Pediatrics Medicare: Medicare Enrolled Practice Location: 2398 Hillsdale Dr, Beavercreek, OH 45431 Phone: 419-699-4398 | |
Katherine Amelia Muse, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd., 120, Beavercreek, OH 45432 Phone: 937-320-8888 Fax: 937-320-3848 | |
Courtney Anne Mccall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432 Phone: 937-320-1950 Fax: 937-320-9332 |