| Mark Bustillo, DO | |
|
2142 N Cove Blvd, Toledo, OH 43606 | |
| (419) 291-4000 | |
| Not Available |
| Full Name | Mark Bustillo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2142 N Cove Blvd, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194202945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34.014542 (Ohio) | Primary |
| Entity Name | Emergency Medicine Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588640791 PECOS PAC ID: 7315851359 Enrollment ID: O20031114000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Bustillo, DO 3131 Newmark Dr Ste 220, Miamisburg, OH 45342-5400 Ph: (937) 438-8910 | Mark Bustillo, DO 2142 N Cove Blvd, Toledo, OH 43606 Ph: (419) 291-4000 |
Dr. Nathaniel Westphal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Boulevard, Department Of Anesthesia Toledo Critical Care, Toledo, OH 43604 Phone: 419-291-1111 Fax: 419-479-3253 | |
Dr. Anthony Joseph Dolney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Acc Trauma Clinic, Toledo, OH 43608 Phone: 419-251-4724 | |
Nicholas Ross Gozza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-8154 | |
Khalid Mohamad Miri, OMS IV Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000 | |
Kevin M Casey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
Bonaventure C. Okoro, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5542 Airport Hwy, Toledo, OH 43615 Phone: 734-464-0887 Fax: 734-402-0254 | |
James Joseph Case, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696 |