| Tiffany Christine Thomas-lakia, MD | |
|
4211 State Route 44 Ste 203, Rootstown, OH 44272-9733 | |
| (330) 325-3202 | |
| (833) 606-1565 |
| Full Name | Tiffany Christine Thomas-lakia |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4211 State Route 44 Ste 203, Rootstown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295948198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 35.089687 (Ohio) | Primary |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Osup Community Outreach Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Christine Thomas-lakia, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (330) 325-3202 | Tiffany Christine Thomas-lakia, MD 4211 State Route 44 Ste 203, Rootstown, OH 44272-9733 Ph: (330) 325-3202 |
Dr. Randon Scott Welton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4211 State Route 44 Ste 203, Rootstown, OH 44272 Phone: 330-325-3202 Fax: 833-606-1565 |