| Gregory James Staten, PA | |
|
4421 Roosevelt Blvd, Middletown, OH 45044-9023 | |
| (833) 510-4357 | |
| Not Available |
| Full Name | Gregory James Staten |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4421 Roosevelt Blvd, Middletown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194703660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.001631RX (Ohio) | Primary |
| Entity Name | Alliance Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | Brightview LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659769446 PECOS PAC ID: 9032426044 Enrollment ID: O20150923000820 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory James Staten, PA 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: Not Available | Gregory James Staten, PA 4421 Roosevelt Blvd, Middletown, OH 45044-9023 Ph: (833) 510-4357 |
Kaitlyn Elizabeth Holiga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 N Breiel Blvd, Middletown, OH 45042 Phone: 937-581-4858 |
Bradley P Bruns, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2408 Hill Ave, Middletown, OH 45044 Phone: 513-569-6780 Fax: 859-372-0065 |
Summer Soliman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6730 Roosevelt Ave Ste 303, Middletown, OH 45005 Phone: 513-874-0486 |
Tyler Ronald Ritchie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 N Breiel Blvd, Middletown, OH 45042 Phone: 513-422-5915 |
Pey Shan Kuo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-2535 Fax: 513-424-0363 |
Frances Marie Cathcart, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 S Main St, Middletown, OH 45044 Phone: 513-423-0739 Fax: 513-423-2265 |
Amanda Graber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1801 Crawford St, Middletown, OH 45044 Phone: 513-425-3291 |