Thomas Darrah (NPI# 1114947454, PAC ID# 5698890853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1114947454 |
| PAC ID by PECOS | 5698890853 |
| Professional Enrollment ID | I20100913000463 |
| Full Name | Thomas Darrah |
| Organization Legal Name | COSTIN FAMILY PRACTICE, INC. |
| Address |
303 E Main St Russells Point OH 43348-9626 |
| Phone Number | 9378432453 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7517082779 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360197 | MARY RUTAN HOSPITAL |
| 360086 | SPRINGFIELD REGIONAL MEDICAL CENTER |
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| 360092 | MEMORIAL HOSPITAL |
| 360348 | DUBLIN METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 N Detroit St, Bellefontaine, OH 43311-1464 | 9385993085 | COSTIN FAMILY PRACTICE, INC. |
| 303 E Main St, Russells Point, OH 43348-9626 | 9378432453 | COSTIN FAMILY PRACTICE, INC. |
| Organization Legal Name | COSTIN FAMILY PRACTICE, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur Costin | Family Medicine | Costin Family Practice, Inc. | 130 N Detroit St, Bellefontaine, OH 43311-1464 |
| Scott Costin | Family Medicine | Costin Family Practice, Inc. | 130 N Detroit St, Bellefontaine, OH 43311-1464 |
| Street Address |
303 E MAIN ST |
| City | RUSSELLS POINT |
| State | OH |
| Zip | 43348-9626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Morris | Chiropractic | 303 E Main St, Kingstree, SC 29556-3512 | |
| Carylene D Gentry | Optometry | 303 E Main St, Marshall, AR 72650-7764 | |
| Daniel J Brown | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Clark E Deshon | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Jerry B Park | Optometry | 303 E Main St, Marshall, AR 72650-7764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Charles Niese | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Sara C Petee | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Elizabeth A Bull | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Shelley J Fogt | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| City | RUSSELLS POINT |
| Zip Code | 43348 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | RUSSELLS POINT + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Thomas Darrah.
| 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.