| Jonathan Woody, | |
|
3700 Southern Blvd Ste 300, Kettering, OH 45429-1265 | |
| (937) 643-9299 | |
| Not Available |
| Full Name | Jonathan Woody |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3700 Southern Blvd Ste 300, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629600028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.006352RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | (Ohio) | Primary |
| 207P00000X | Emergency Medicine | 50.006352RX (Ohio) | Secondary |
| 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 | Qualified Emergency Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700872728 PECOS PAC ID: 6002720430 Enrollment ID: O20031118001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Woody, 1 Prestige Pl, Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Jonathan Woody, 3700 Southern Blvd Ste 300, Kettering, OH 45429-1265 Ph: (937) 643-9299 |
Isabel Kathleen Stoffel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 2100, Kettering, OH 45429 Phone: 937-762-1310 |
Zachary Carlisle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 |
Arianna Richter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3737 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8601 |
Annabeth Pruett Barry, PA-C, MBA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 424 E Stroop Rd Unit B, Kettering, OH 45429 Phone: 937-562-2300 Fax: 937-562-2302 |
Miss Kathryn Paige Schwendler, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 |
Michael D Kelley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 |
Marie Therese Mualla Oram, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 |