| Thomas W Gerken, MD | |
|
5901 Monclova Rd, Maumee, OH 43537-1855 | |
| (419) 897-8370 | |
| Not Available |
| Full Name | Thomas W Gerken |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 5901 Monclova Rd, Maumee, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033187422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35.054624 (Ohio) | Primary |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Gerken, MD 4320 Pear Tree Ct, Sylvania, OH 43560-4405 Ph: (419) 843-6018 | Thomas W Gerken, MD 5901 Monclova Rd, Maumee, OH 43537-1855 Ph: (419) 897-8370 |
John L. Rust Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Patrick J. Schafer, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Thomas J. Andersen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Samuel Agubosim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1574 Henthorne Dr, Suite C, Maumee, OH 43537 Phone: 419-794-1170 Fax: 419-794-1171 | |
Bashar N Jouma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Heart Center, Maumee, OH 43537 Phone: 419-893-5911 | |
Elizabeth Fowler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 |