David J Kouba (NPI# 1073561866, PAC ID# 3173512233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1073561866 |
| PAC ID by PECOS | 3173512233 |
| Professional Enrollment ID | I20080303000092 |
| Full Name | David J Kouba |
| Organization Legal Name | TOLEDO CLINIC INCORPORATED |
| Address |
1100 W Main St Woodville OH 43469-9723 |
| Phone Number | 4197245820 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2000 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5698673382 |
| Number of Group Practice Members | 263 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2702 Navarre Ave, Oregon, OH 43616-3224 | TOLEDO CLINIC INCORPORATED | |
| 4235 Secor Rd, Toledo, OH 43623-4231 | 4194795398 | TOLEDO CLINIC INCORPORATED |
| 1080 N Shoop Ave, Wauseon, OH 43567-1821 | 4193305288 | TOLEDO CLINIC INCORPORATED |
| 1090 N Shoop Ave, Wauseon, OH 43567-1821 | 4193305200 | TOLEDO CLINIC INCORPORATED |
| 1100 W Main St, Woodville, OH 43469-9723 | 4197245820 | TOLEDO CLINIC INCORPORATED |
| Organization Legal Name | TOLEDO CLINIC INCORPORATED |
| Physicians | 257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Lynn Oswald | Nurse Practitioner | Toledo Clinic Incorporated | 625 Gibbs St, Maumee, OH 43537-2801 |
| John Reno | Qualified Audiologist | Toledo Clinic Incorporated | 5800 Park Ctr Ct, Suite C, Toledo, OH 43615-0710 |
| Lindsey Reames | Nurse Practitioner | Toledo Clinic Incorporated | 4330 Navarre Ave, Suite 101, Oregon, OH 43616-3587 |
| Rachel Baker | Nurse Practitioner | Toledo Clinic Incorporated | 7640 Sylvania Ave L, Sylvania, OH 43560-9263 |
| Page Hefner | Nurse Practitioner | Toledo Clinic Incorporated | 930 Dixie Hwy, Rossford, OH 43460-1333 |
| Erin C Simpson | Nurse Practitioner | Toledo Clinic Incorporated | 6819 Spring Valley Dr, Holland, OH 43528-9487 |
| Jennifer Seal | Nurse Practitioner | Toledo Clinic Incorporated | 2658 W Laskey Rd, Suite 101, Toledo, OH 43613-3288 |
| Raja Assad Hanif | Hospitalist | Toledo Clinic Incorporated | 1850 Eastgate Rd I, Toledo, OH 43614-3024 |
| Susan Jean Menard | Nurse Practitioner | Toledo Clinic Incorporated | 6525 Secor Rd, Am Skin Health and Plastic Surgery, Lambertville, MI 48144-9431 |
| Nadine Chahine Kassis | Obstetrics/gynecology | Toledo Clinic Incorporated | 28442 E River Rd, Perrysburg, OH 43551-2795 |
| Street Address |
1100 W MAIN ST |
| City | WOODVILLE |
| State | OH |
| Zip | 43469-9723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Marie Bushrow | Physician Assistant | Toledo Clinic Incorporated | 1100 W Main St, Woodville, OH 43469-9723 |
| Timothy B Carroll | Chiropractic | 1100 W Main St, Eastland, TX 76448-2434 | |
| Brian E Bird | Chiropractic | 1100 W Main St, Carbondale, IL 62901-2335 | |
| Julie A Bird | Chiropractic | Allied Physicians and Rehab of Southern Illinois Sc | 1100 W Main St, Carbondale, IL 62901-2335 |
| Mary Traver | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1100 W Main St, Woodville, OH 43469-9723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Haynes | Family Medicine | Toledo Clinic Incorporated | 104 E Main St, Woodville, OH 43469-1209 |
| Jonathan P Hegemier | Physical Therapy | 108 E Main St, Suite B, Woodville, OH 43469-1237 |
| City | WOODVILLE |
| Zip Code | 43469 |
| Specialty | DERMATOLOGY |
| City + Specialty | WOODVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on David J Kouba.
| 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.