| Marvin D Stalter, MD | |
|
12306 County Road E 35, Bryan, OH 43506-2409 | |
| (419) 630-0491 | |
| (419) 630-0491 |
| Full Name | Marvin D Stalter |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12306 County Road E 35, Bryan, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700817194 | NPI | - | NPPES |
| 080161175 | Other | OH | RAILROAD |
| 2117524 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-076325 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 35-076325 (Ohio) | Primary |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Hles Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679806301 PECOS PAC ID: 2961549209 Enrollment ID: O20091020000137 |
| Entity Name | Pomerene Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770957185 PECOS PAC ID: 5496856270 Enrollment ID: O20160208000863 |
| Entity Name | Williams Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609334556 PECOS PAC ID: 9739421777 Enrollment ID: O20190423002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin D Stalter, MD 12306 County Road E35, Bryan, OH 43506-8309 Ph: (419) 630-0491 | Marvin D Stalter, MD 12306 County Road E 35, Bryan, OH 43506-2409 Ph: (419) 630-0491 |
Richard U Baldwin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 433 W. High St., Bryan, OH 43506 Phone: 419-636-1131 | |
Michael William Murray, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 | |
Jennifer Lentini, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 | |
Dr. George Thomas Magill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-633-3420 Fax: 419-630-2155 |