| James W Desapri, | |
|
1272 W Main St Ste 503, Newark, OH 43055-2058 | |
| (220) 564-1788 | |
| (220) 564-1789 |
| Full Name | James W Desapri |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1272 W Main St Ste 503, Newark, Ohio |
| 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 |
|---|---|---|---|
| 1851334072 | NPI | - | NPPES |
| 2420106 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34007998 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 34-00-7988-D (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Generation Home Health Llc | Newark, OH | Home health agency |
| Licking Memorial Hospital | Newark, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Licking Memorial Professional Corporation | 6204740731 | 218 |
| Entity Name | Licking Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
| Mailing Address | Practice Location Address |
|---|---|
| James W Desapri, 1272 W Main St Ste 503, Newark, OH 43055-2058 Ph: (220) 564-1788 | James W Desapri, 1272 W Main St Ste 503, Newark, OH 43055-2058 Ph: (220) 564-1788 |
Dr. Carl Waggoner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St, Bldg. 5, Newark, OH 43055 Phone: 740-348-1788 Fax: 740-348-1789 | |
Dr. Talya Greathouse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4000 | |
Dr. Pattye Whisman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-4827 Fax: 220-564-1894 | |
Dr. Matthew R Harris, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1272 W Main St Ste 503, Newark, OH 43055 Phone: 220-564-1778 Fax: 220-564-1779 | |
Katrina M Timson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 399 E Main St, Newark, OH 43055 Phone: 220-564-1846 Fax: 220-564-1847 | |
Donald J Fairbanks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 270 Goosepond Rd, Newark, OH 43055 Phone: 220-564-7960 Fax: 220-564-7961 | |
Dr. Michael Eugene Campolo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1930 Tamarack Rd, Newark, OH 43055 Phone: 740-522-7600 Fax: 740-522-6399 |