| Mohammad Othman, MD | |
|
5700 Southwyck Blvd, Toledo, OH 43614-1509 | |
| (800) 288-8332 | |
| (419) 866-5453 |
| Full Name | Mohammad Othman |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 28 Years |
| Location | 5700 Southwyck Blvd, Toledo, 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 |
|---|---|---|---|
| 1841678240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301086478 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Henry Ford Pathology | 6406953439 | 30 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Henry Ford Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851410005 PECOS PAC ID: 6406953439 Enrollment ID: O20070525000207 |
| Entity Name | Port Huron Physicians Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598141640 PECOS PAC ID: 0840507802 Enrollment ID: O20150923002611 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Othman, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: () - | Mohammad Othman, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8332 |
Dr. Robert L Booth Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3472 Fax: 419-383-6130 | |
Dr. Andres Gustavo Madrigal, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3482 Fax: 419-383-6183 | |
Jill Lynn Zyrek, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3470 Fax: 419-383-6130 | |
Leonard H Madoff, MD Pathology Medicare: Medicare Enrolled Practice Location: 2222 Cherry St, Toledo, OH 43608 Phone: 419-251-4534 | |
Nicole Ann Hubbard, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Clm-pathology Lab, Toledo, OH 43606 Phone: 419-534-3500 Fax: 419-534-2608 | |
Sri Krishna Chaitany Arudra, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3000 Arlington Ave, Mail Stop 1068, Toledo, OH 43614 Phone: 419-383-4244 | |
Dr. Gregory M Prince, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3170 W Central Ave, Toledo, OH 43606 Phone: 419-534-3500 Fax: 419-534-2608 |