| Robert Holm, DO | |
|
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5201 | |
| (740) 446-5761 |
| Full Name | Robert Holm |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 90 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689638041 | NPI | - | NPPES |
| 310917085154 | Other | OH | OH MEDICAID CARESOURCE |
| 000000361214 | Other | OH | IND BC/BS # AT GRADY |
| 3810007936 | Medicaid | WV | |
| 459016 | Other | OH | OH MEDICAID MOLINA |
| P00884478 | Other | OH | RAIL ROAD MEDICARE |
| 0459016 | Medicaid | OH | |
| 000000360722 | Other | OH | OH MEDICAID UNISON |
| P00241147 | Other | OH | IND RRMEDICARE # AT GRADY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34006443 (Ohio) | Primary |
| Entity Name | Selby General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124073465 PECOS PAC ID: 9638087893 Enrollment ID: O20040108000165 |
| Entity Name | Marietta Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962106328 PECOS PAC ID: 8224928965 Enrollment ID: O20040317000973 |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20050422000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Holm, DO 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5201 | Robert Holm, DO 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5201 |
Joseph D. Crum, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5586 Fax: 740-446-5749 | |
Dr. Carlton Wayne Herald, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5533 Fax: 740-441-3318 | |
Gregory J. Mickunas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
T. Wayne Munro, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
Dr. Andrew Thomas Hughes, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5412 Fax: 740-446-5761 | |
Susheel S Kakde Sr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 |