Madeline Agosto (NPI# 1053363580, PAC ID# 8921085705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1053363580 |
PAC ID by PECOS | 8921085705 |
Professional Enrollment ID | I20120220000410 |
Full Name | Madeline Agosto |
Organization Legal Name | WEST MARKET STREET FAMILY PHYS |
Address |
915 W Market St Suite E Lima OH 45805-2769 |
Phone Number | 4192294747 |
Gender | F |
Graduation Year | 1987 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7517943269 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360066 | ST RITA'S MEDICAL CENTER |
360009 | LIMA MEMORIAL HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
915 W Market St, Suite E, Lima, OH 45805-2769 | 4192294747 | WEST MARKET STREET FAMILY PHYS |
Organization Legal Name | WEST MARKET STREET FAMILY PHYS |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward Lewis Tremoulis | Family Medicine | West Market Street Family Phys | 915 W Market St, Suite E, Lima, OH 45805-2769 |
David J Neidhardt | Emergency Medicine | West Market Street Family Phys | 915 W Market St, Suite E, Lima, OH 45805-2769 |
Manuel Florent Julian Patricio | Emergency Medicine | West Market Street Family Phys | 915 W Market St, Suite E, Lima, OH 45805-2769 |
Street Address |
915 W MARKET ST SUITE E |
City | LIMA |
State | OH |
Zip | 45805-2769 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward Lewis Tremoulis | Family Medicine | West Market Street Family Phys | 915 W Market St, Suite E, Lima, OH 45805-2769 |
David J Neidhardt | Emergency Medicine | West Market Street Family Phys | 915 W Market St, Suite E, Lima, OH 45805-2769 |
Manuel Florent Julian Patricio | Emergency Medicine | West Market Street Family Phys | 915 W Market St, Suite E, Lima, OH 45805-2769 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darryl M Haycock | Podiatry | 2311 Baton Rouge, Lima, OH 45805-1129 | |
Mary Shenouda | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
Michael Griffith | Psychologist, Clinical | 3000 Elida Rd, Suite 2, Lima, OH 45805-1232 | |
Michael Fishbaugh Jr. | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
Amy L Bankey | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
Ashley Nicole Schoenherr | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
John Gillis | Chiropractic | 1905 Latham Ave, Lima, OH 45805-1637 | |
Matthew P Ziccardi | Clinical Psychologist | 1045 Mackenzie Dr, Lima, OH 45805-1660 | |
Omar A Sweidan | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
Find all physicians in zip 45805 |
City | LIMA |
Zip Code | 45805 |
Specialty | FAMILY MEDICINE |
City + Specialty | LIMA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Madeline Agosto.
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.