Timothy Plank (NPI# 1003802141, PAC ID# 2769409481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1003802141 |
PAC ID by PECOS | 2769409481 |
Professional Enrollment ID | I20051101000281 |
Full Name | Timothy Plank |
Address |
15 Cherdon Cir Wakeman OH 44889-8970 |
Phone Number | 4402255264 |
Gender | M |
Credential | DO |
Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
Graduation Year | 1988 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360041 | PARMA COMMUNITY GENERAL HOSPITAL |
360145 | UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
16600 W Sprague Rd, Suite 120, Middleburg Heights, OH 44130-6300 | 4408260500 | VPA PC |
15 Cherdon Cir, Wakeman, OH 44889-8970 | 4402255264 |
Street Address |
15 CHERDON CIR |
City | WAKEMAN |
State | OH |
Zip | 44889-8970 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mbanefo Emmanuel Ojukwu | Internal Medicine | Fisher-titus Medical Care LLC | 24 Hyde St, Wakeman, OH 44889-9301 |
Allison P Ringle | Nurse Practitioner | Fisher-titus Medical Care LLC | 24 Hyde St, Wakeman, OH 44889-9301 |
Christina Canfield | Family Medicine | Fisher-titus Medical Care LLC | 24 Hyde St, Wakeman, OH 44889-9301 |
City | WAKEMAN |
Zip Code | 44889 |
Specialty | GENERAL PRACTICE |
City + Specialty | WAKEMAN + GENERAL PRACTICE |
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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.