| Dr Stephen Thomas Mathai, MD | |
|
25 Thorpe Dr, Dayton, OH 45420-1823 | |
| (937) 258-6330 | |
| (937) 252-1242 |
| Full Name | Dr Stephen Thomas Mathai |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 25 Thorpe Dr, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952404105 | NPI | - | NPPES |
| 0496379 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35048185 (Ohio) | Primary |
| Entity Name | Dayton Pain Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790730638 PECOS PAC ID: 8123922887 Enrollment ID: O20031124000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Thomas Mathai, MD 1780 Valleybrook Pl, Centerville Finance, OH 45459-5151 Ph: (937) 433-2932 | Dr Stephen Thomas Mathai, MD 25 Thorpe Dr, Dayton, OH 45420-1823 Ph: (937) 258-6330 |
Hemanth Shimoga Lingadevaru, MD,MPH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 Fax: 937-641-3107 | |
Tanya Paul, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 | |
Dr. Sara Frances Guerrero-duby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Dr. Rory Jon Peppard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409 Phone: 937-208-2907 Fax: 937-208-4515 | |
Dr. Emmett H Broxson Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3111 Fax: 937-641-5885 | |
Dr. Ramakrishna Mutyala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 934-641-4500 | |
Bryce Lawrence Willen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 |