| Theodore Woo, MD | |
|
2420 Lake Ave, Emergency Department, Ashtabula, OH 44004-4954 | |
| (213) 840-7421 | |
| Not Available |
| Full Name | Theodore Woo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2420 Lake Ave, Ashtabula, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720254105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 258915 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 35.120552 (Ohio) | Primary |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Entity Name | Kayenta Alternative Rural Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Woo, MD 571 Saint Josephs Blvd, Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Theodore Woo, MD 2420 Lake Ave, Emergency Department, Ashtabula, OH 44004-4954 Ph: (213) 840-7421 |
Michael St. Marie, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-2262 | |
James Henry Radack, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-2262 | |
Saima Begum, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-2262 | |
John Michael O'toole, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-2262 |