Jeremy Depugh (NPI# 1104275999, PAC ID# 3274827035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104275999 |
| PAC ID by PECOS | 3274827035 |
| Professional Enrollment ID | I20160802002894 |
| Full Name | Jeremy Depugh |
| Organization Legal Name | NEW BOSTON VISION CENTER LLC |
| Address |
3955 Rhodes Ave New Boston OH 45662-4950 |
| Phone Number | 7404564143 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8426307695 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3955 Rhodes Ave, New Boston, OH 45662-4950 | 7404564143 | NEW BOSTON VISION CENTER LLC |
| Organization Legal Name | NEW BOSTON VISION CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron T Kallner | Optometry | New Boston Vision Center LLC | 3955 Rhodes Ave, New Boston, OH 45662-4950 |
| David L Depugh | Optometry | New Boston Vision Center LLC | 3955 Rhodes Ave, New Boston, OH 45662-4950 |
| Street Address |
3955 RHODES AVE |
| City | NEW BOSTON |
| State | OH |
| Zip | 45662-4950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron T Kallner | Optometry | New Boston Vision Center LLC | 3955 Rhodes Ave, New Boston, OH 45662-4950 |
| David L Depugh | Optometry | New Boston Vision Center LLC | 3955 Rhodes Ave, New Boston, OH 45662-4950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul S Cwikla | Podiatry | 1605 E Eleventh St, Portsmouth, OH 45662 | |
| David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Ryan F Sandlin | Obstetrics/gynecology | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Zachary Harr | Physician Assistant | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Reena Samuel | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Ernesto Espe Banalagay | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Tiffany L Harris | Certified Nurse Midwife (cnm) | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Joseph W Herrmann | Vascular Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Phillip D Roberts | Family Medicine | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Jeffrey E Parker | General Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Find all physicians in zip 45662 | |||
| City | NEW BOSTON |
| Zip Code | 45662 |
| Specialty | OPTOMETRY |
| City + Specialty | NEW BOSTON + OPTOMETRY |
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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.