Unknown Individual – Internal Medicine Physician, NPI 1265432389
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4235, Secor Road, Deaveaux, Toledo, Lucas County, Ohio, 43623, United States
TOLEDO, OH 436234231
Phone: (734) 241-2117
Type: Mailing
2250, North Monroe Street, Frenchtown Township, Monroe County, Michigan, 48162, United States
MONROE, MI 481624254
Phone: (734) 241-2117
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43623)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 936 | 553 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| U R O L O G Y | OH | |
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Orthopedic Surgery | OH |
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