| Geoffrey Sirockman, DO | |
|
401 Matthew St, Emergency Department, Marietta, OH 45750-1635 | |
| (740) 568-5669 | |
| (740) 568-5279 |
| Full Name | Geoffrey Sirockman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 401 Matthew St, Marietta, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043656804 | NPI | - | NPPES |
| 0163443 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34.012083 (Ohio) | Primary |
| Entity Name | Emergency Service Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558340562 PECOS PAC ID: 8224024716 Enrollment ID: O20040421000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey Sirockman, DO 401 Matthew St, Emergency Department, Marietta, OH 45750-1635 Ph: (740) 568-5669 | Geoffrey Sirockman, DO 401 Matthew St, Emergency Department, Marietta, OH 45750-1635 Ph: (740) 568-5669 |
Janelle A Thomas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Dept, Marietta, OH 45750 Phone: 740-374-1400 | |
Julian Adam John Jakubowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-376-1939 Fax: 740-374-1693 | |
Conley Diaz-gomez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1939 Fax: 740-374-1693 | |
Terry L Carr, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-376-1939 | |
Dr. Cady Noelle Kennedy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew Street, Emergency Department, Marietta, OH 45750 Phone: 740-568-5669 | |
Ryan Nagy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-568-5669 |