| Ryan Michael Grow, DO | |
|
88 Mdg, 4881 Sugar Maple Dr., Wpafb, OH 45433 | |
| (937) 656-3172 | |
| Not Available |
| Full Name | Ryan Michael Grow |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 88 Mdg, 4881 Sugar Maple Dr., Wpafb, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679070551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34.014455 (Ohio) | Primary |
| Entity Name | Miami Valley Emergency Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 |
| Entity Name | Phs Emergency Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578387486 PECOS PAC ID: 7810426947 Enrollment ID: O20250117002759 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Michael Grow, DO 88 Hcos / Sgge, 4881 Sugar Maple Dr., Wright Patterson Afb, OH 45433-1221 Ph: (937) 656-3172 | Ryan Michael Grow, DO 88 Mdg, 4881 Sugar Maple Dr., Wpafb, OH 45433 Ph: (937) 656-3172 |
Meagan B Verbillion, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-0770 | |
Dr. Jason James Hofstede, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 88th Medical Group, 4881 Sugar Maple Dr., Wpafb, OH 45433 Phone: 937-522-2778 | |
Dr. Adam J Kruse, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-0770 | |
Dr. Tyler L Scaff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-0770 | |
Dr. Ian Christopher Sanford, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-8718 | |
Dr. Benjamin Richard Ryan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-0770 |