Vlada Mardovin (NPI# 1437224508, PAC ID# 4789608621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1437224508 |
| PAC ID by PECOS | 4789608621 |
| Professional Enrollment ID | I20060118001071 |
| Full Name | Vlada Mardovin |
| Organization Legal Name | SPRINGFIELD UROLOGY LLC |
| Address |
1164 E Home Rd Suite J Springfield OH 45503-2726 |
| Phone Number | 9373429260 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6608977459 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360355 | OHIO VALLEY MEDICAL CENTER, LLC |
| 360086 | SPRINGFIELD REGIONAL MEDICAL CENTER |
| 360360 | SOIN MEDICAL CENTER |
| 361312 | MERCY MEMORIAL HOSPITAL |
| 360197 | MARY RUTAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 | 9373429260 | SPRINGFIELD UROLOGY LLC |
| Organization Legal Name | SPRINGFIELD UROLOGY LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley J Leutze | Physician Assistant | Springfield Urology LLC | 1157 N Monroe Dr, Suite 230, Xenia, OH 45385-1699 |
| Ananth Annamraju | Urology | Springfield Urology LLC | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Eric A Espinosa | Urology | Springfield Urology LLC | 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 |
| Katrina K Tipton | Nurse Practitioner | Springfield Urology LLC | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| James B Colombo | Urology | Springfield Urology LLC | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Street Address |
1164 E HOME RD SUITE J |
| City | SPRINGFIELD |
| State | OH |
| Zip | 45503-2726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Espinosa | Urology | Springfield Urology LLC | 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Carter | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Briana Lynne Deacon | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Eric J Ashford | Anesthesiology | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Sandy Danielle Turner | Family Medicine | Mercy Health Physicians Cincinnati LLC | 211 Northparke Dr, Springfield, OH 45503-1117 |
| Sami Muhammad Khan | Family Medicine | Mercy Health Physicians Cincinnati LLC | 211 Northparke Dr, Springfield, OH 45503-1117 |
| Joseph M Smith | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Libby Jo Wilson | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Laura B Thompson | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Alper Sarihan | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Kelly Debrosse | Nurse Practitioner | Ob Gyn Ltd | 1108 Vester Ave, Springfield, OH 45503-1302 |
| Find all physicians in zip 45503 | |||
| City | SPRINGFIELD |
| Zip Code | 45503 |
| Specialty | UROLOGY |
| City + Specialty | SPRINGFIELD + UROLOGY |
Please comment or provide details below to improve the information on Vlada Mardovin.
| 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.