| Jonathan P Moayyad, MD | |
|
3525 Pentagon Blvd, Suite 101, Beavercreek, OH 45429-1226 | |
| (937) 702-4060 | |
| (937) 702-4069 |
| Full Name | Jonathan P Moayyad |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 12 Years |
| Location | 3525 Pentagon Blvd, Beavercreek, 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 |
|---|---|---|---|
| 1689076093 | NPI | - | NPPES |
| 0370544 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35.137168 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Regional Medical Center | Goodyear, AZ | Hospital |
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Hope Medical Group Of Arizona Llc | 2264593474 | 155 |
| Entity Name | City Of Hope Medical Group Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan P Moayyad, MD 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Jonathan P Moayyad, MD 3525 Pentagon Blvd, Suite 101, Beavercreek, OH 45429-1226 Ph: (937) 702-4060 |
Dr. Ralph Vatner, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 101, Beavercreek, OH 45431 Phone: 937-702-4060 Fax: 937-702-4069 | |
Matthew Lee Knecht, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431 Phone: 937-702-4060 Fax: 937-702-4069 |