Dr Thach Bao Jonathan Nguyen, MD | |
107 Main St, Wintersville, OH 43953-3733 | |
(740) 266-2930 | |
(740) 266-2931 |
Full Name | Dr Thach Bao Jonathan Nguyen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 107 Main St, Wintersville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912494873 | NPI | - | NPPES |
0446768 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 30293 (West Virginia) | Secondary |
208000000X | Pediatrics | 35.141244 (Ohio) | Primary |
Entity Name | Trinity West |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043234677 PECOS PAC ID: 5496648875 Enrollment ID: O20040209000132 |
Mailing Address | Practice Location Address |
---|---|
Dr Thach Bao Jonathan Nguyen, MD 380 Summit Avenue, Mso Physician Billing, Steubenville, OH 43952-2667 Ph: (740) 283-7597 | Dr Thach Bao Jonathan Nguyen, MD 107 Main St, Wintersville, OH 43953-3733 Ph: (740) 266-2930 |
Ananth Rayabhari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 107 Main St, Wintersville, OH 43953 Phone: 740-266-2930 Fax: 740-266-2931 | |
Dr. Anand John Mathew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Main St, Wintersville, OH 43953 Phone: 740-266-2930 Fax: 740-266-2931 | |
Ms. Coleen Hart, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 107 Main St, Wintersville, OH 43953 Phone: 740-314-5817 Fax: 740-792-4184 |