| Mr Randy L Orsborn, PAC | |
|
1490 Coshocton Ave, Ste B, Mount Vernon, OH 43050-6099 | |
| (740) 393-9111 | |
| (740) 399-3161 |
| Full Name | Mr Randy L Orsborn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1490 Coshocton Ave, Mount Vernon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588609440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50001642 (Ohio) | Primary |
| 363A00000X | Physician Assistant | OA006843 (Pennsylvania) | Secondary |
| Entity Name | The Union Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871606921 PECOS PAC ID: 0648177725 Enrollment ID: O20031217000124 |
| Entity Name | Knox Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
| Entity Name | Knox Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861450066 PECOS PAC ID: 0042113862 Enrollment ID: O20041028000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randy L Orsborn, PAC 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 Ph: (740) 393-9111 | Mr Randy L Orsborn, PAC 1490 Coshocton Ave, Ste B, Mount Vernon, OH 43050-6099 Ph: (740) 393-9111 |
Kristiana L Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10 Woodlake Trl Ste C, Mount Vernon, OH 43050 Phone: 740-392-7337 Fax: 740-392-7333 |
Marissa Lynne Walaszek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Coshocton Ave # H, Mount Vernon, OH 43050 Phone: 740-326-6552 |
Raymond Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 |
Antonia Artise Erndt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 |
Layne Hartnell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Harcourt Rd Ste 2, Mount Vernon, OH 43050 Phone: 740-326-6069 |
Kevin D Shields, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1661 Venture Dr, Mount Vernon, OH 43050 Phone: 740-393-9766 Fax: 740-390-6361 |