| Nicholas Sousaris, MD | |
|
4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-0837 | |
| Not Available |
| Full Name | Nicholas Sousaris |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, 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 |
|---|---|---|---|
| 1417367285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01082210A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Aultman Hospital | Canton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Radiology Corp | 6507754983 | 255 |
| Radiology Associates Of Canton Inc | 7012829260 | 38 |
| Entity Name | Radiology Associates Of Canton Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912982034 PECOS PAC ID: 7012829260 Enrollment ID: O20031105000231 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
| Entity Name | Aultman Now Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1225662927 PECOS PAC ID: 7719318633 Enrollment ID: O20200509000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Sousaris, MD 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 Ph: () - | Nicholas Sousaris, MD 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-0837 |
Gregory James Morse, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88 Dts/sgqx, Wright Patterson Afb, OH 45433 Phone: 937-257-9679 | |
Jon K. Marti, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9450 |