Roy E Harvey Iii (NPI# 1629075320, PAC ID# 0648266759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1629075320 |
PAC ID by PECOS | 0648266759 |
Professional Enrollment ID | I20040423000446 |
Full Name | Roy E Harvey Iii |
Organization Legal Name | WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC |
Address |
622 E Elm St Suite A Union City OH 45390-1722 |
Phone Number | 9379687416 |
Gender | M |
Credential | MD |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1973 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3476695354 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360044 | WAYNE HEALTHCARE |
151301 | ST VINCENT RANDOLPH HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
622 E Elm St, Suite A, Union City, OH 45390-1722 | 9379687416 | WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC |
Organization Legal Name | WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia L Sutter | Nurse Practitioner | Wayne Hospital Company Professional Services LLC | 622 E Elm St, Suite A, Union City, OH 45390-1722 |
Stephanie N Buchanan | General Surgery | Wayne Hospital Company Professional Services LLC | 804 Central Ave, Greenville, OH 45331-1206 |
David Kinnaird Johnson | Physical Medicine and Rehabilitation | Wayne Hospital Company Professional Services LLC | 1111 Sweitzer St, Greenville, OH 45331-1189 |
Kara S Schultz | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
Patrick Karr | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
Peter W Lachiewicz | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
Alisha D Reiss | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
John A Dutro | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
Chane Chalou | Nurse Practitioner | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
Jennifer R Canan | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
Street Address |
622 E ELM ST SUITE A |
City | UNION CITY |
State | OH |
Zip | 45390-1722 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia L Sutter | Nurse Practitioner | Wayne Hospital Company Professional Services LLC | 622 E Elm St, Suite A, Union City, OH 45390-1722 |
City | UNION CITY |
Zip Code | 45390 |
Specialty | FAMILY MEDICINE |
City + Specialty | UNION CITY + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.