| Dr Thomas Huntington I, MD | |
|
416 E Maumee St, Angola, IN 46703-2001 | |
| (260) 667-5503 | |
| Not Available |
| Full Name | Dr Thomas Huntington I |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 416 E Maumee St, Angola, Indiana |
| 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 |
|---|---|---|---|
| 1215963293 | NPI | - | NPPES |
| 01060546B | Other | IN | CSR |
| 4301053735 | Other | MI | PHYSICIAN LICENSE |
| 4301053735 | Other | MI | CONTROLLED SUBSTANCE LIC |
| 01060546A | Other | IN | INDIANA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01060546A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cameron Memorial Community Hospital Inc | Angola, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Emergency Physicians Pc | 2769384213 | 46 |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Huntington I, MD 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 Ph: (260) 498-2022 | Dr Thomas Huntington I, MD 416 E Maumee St, Angola, IN 46703-2001 Ph: (260) 667-5503 |
Dr. Andrew Jeffrey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 416 E Maumee St, Angola, IN 46703 Phone: 260-665-2141 | |
Dr. Susan Frayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 E Maumee St Ste 303, Angola, IN 46703 Phone: 260-667-5685 Fax: 260-667-5564 |