| Jonathan Simon Fain, MD | |
|
335 Glessner Ave, Pathology Department, Mansfield, OH 44903-2269 | |
| (419) 526-8509 | |
| (419) 520-2846 |
| Full Name | Jonathan Simon Fain |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 335 Glessner Ave, Mansfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790837615 | NPI | - | NPPES |
| 0881149 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35063392 (Ohio) | Primary |
| Entity Name | Associated Pathology Laboratories Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891905857 PECOS PAC ID: 2163556119 Enrollment ID: O20100813000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Simon Fain, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Jonathan Simon Fain, MD 335 Glessner Ave, Pathology Department, Mansfield, OH 44903-2269 Ph: (419) 526-8509 |
Dr. Ian Craig Talbott, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave # 1370, Mansfield, OH 44903 Phone: 419-526-8486 | |
John Howard Burgess, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-526-8000 Fax: 418-520-2846 | |
Dr. Karen Sue Wagenhals, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-526-8486 | |
Dr. Homer O Wiland Iv, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 330-718-1740 |