| Taylor Hartlaub, MPH | |
| 
					730 W Market St, Lima, OH 45801-4602  | |
| (419) 227-3361 | |
| Not Available | 
| Full Name | Taylor Hartlaub | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 730 W Market St, Lima, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477133619 | NPI | - | NPPES | 
| 0448371 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208M00000X | Hospitalist | 35.149894 (Ohio) | Secondary | 
| 208000000X | Pediatrics | 35.149894 (Ohio) | Primary | 
| Entity Name | Pediatric Academic Association, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Taylor Hartlaub, MPH 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000  | Taylor Hartlaub, MPH 730 W Market St, Lima, OH 45801-4602 Ph: (419) 227-3361  | 
Hussein Ibrahim Kashk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 967 Bellefontaine Ave, Lima, OH 45804 Phone: 419-996-5895  | |
Albert Anthony Phillips Ii, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361  | |
Dr. Sheilla D Mcneal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665  | |
Dr. Teresa Jean Byrne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 W High St, Suite 102 And Suite 201, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665  | |
Dr. Rajbir Singh Bajwa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665  | |
Dr. Jill Ellen Emerick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 W High St, Lima, OH 45801 Phone: 419-996-5240 Fax: 419-996-5242  | |
Dr. Tilly Effie Duncan-sampson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 Phone: 419-998-8230 Fax: 419-998-8231  |