Dirk N Juschka (NPI# 1497750137, PAC ID# 5698738946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1497750137 |
| PAC ID by PECOS | 5698738946 |
| Professional Enrollment ID | I20041108000505 |
| Full Name | Dirk N Juschka |
| Organization Legal Name | DR. DIRK LLC |
| Address |
580 E Washington St Sabina OH 45169-1253 |
| Phone Number | 7408956101 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 4880862796 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361334 | ADENA PIKE MEDICAL CENTER |
| 361331 | FAYETTE COUNTY MEMORIAL HOSPITAL |
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 360159 | ADENA REGIONAL MEDICAL CENTER |
| 360014 | OHIOHEALTH O'BLENESS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 580 E Washington St, Sabina, OH 45169-1253 | 7408956101 | DR. DIRK LLC |
| Organization Legal Name | DR. DIRK LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Burton | Physician Assistant | Dr. Dirk LLC | 555 N Glenn Ave, Washington Court House, OH 43160-2711 |
| Kimberley Tolle | Nurse Practitioner | Dr. Dirk LLC | 3363 Ragged Ridge Rd, Frankfort, OH 45628-9551 |
| Robert E Albright Jr. | Neurology | Dr. Dirk LLC | 1460 Ludlow Rd, Xenia, OH 45385-7900 |
| Angela R Hardy | Nurse Practitioner | Dr. Dirk LLC | 3363 Ragged Ridge Rd, Frankfort, OH 45628-9551 |
| Mark A Crager | Physician Assistant | Dr. Dirk LLC | 580 E Washington St, Sabina, OH 45169-1253 |
| Street Address |
580 E WASHINGTON ST |
| City | SABINA |
| State | OH |
| Zip | 45169-1253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Crager | Physician Assistant | Dr. Dirk LLC | 580 E Washington St, Sabina, OH 45169-1253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Adams | Physician Assistant | Wilmington Physicians Group LLC | 12459 Us Hwy 22 and 3, Sabina, OH 45169-9083 |
| Rodel A Cacas | Family Medicine | Wilmington Physicians Group LLC | 12459 Us Hwy 22 and 3, Sabina, OH 45169-9083 |
| City | SABINA |
| Zip Code | 45169 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | SABINA + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Dirk N Juschka.
| 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.