Joseph Bocka (NPI# 1386784270, PAC ID# 6305730672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1386784270 |
| PAC ID by PECOS | 6305730672 |
| Professional Enrollment ID | I20080229000331 |
| Full Name | Joseph Bocka |
| Organization Legal Name | THIRD STREET COMMUNITY CLINIC, INC |
| Address |
200 Park Ave W Mansfield OH 44902-1608 |
| Phone Number | 4195222239 |
| Gender | M |
| Medical School | UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2365423977 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| 361324 | OHIOHEALTH SHELBY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Park Ave W, Mansfield, OH 44902-1608 | 4195222239 | THIRD STREET COMMUNITY CLINIC, INC |
| Organization Legal Name | THIRD STREET COMMUNITY CLINIC, INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Bowman | Nurse Practitioner | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
| Courtney L Brooks | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Jessica Rose Brent | Podiatry | Third Street Community Clinic, Inc | 2131 Park Ave W, Suite 200, Ontario, OH 44906-1226 |
| Brett Edward Toward | Family Practice | Third Street Community Clinic, Inc | 600 W 3rd St, Mansfield, OH 44906-2633 |
| Tricia E Giddens | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Ashley N Wilford | Nurse Practitioner | Third Street Community Clinic, Inc | 270 Sterkel Blvd, Suite A, Mansfield, OH 44907-1508 |
| Carolyn Chambers | Obstetrics/gynecology | Third Street Community Clinic, Inc | 199 W Main St, Fl 2, Shelby, OH 44875-1490 |
| James Alford | Obstetrics/gynecology | Third Street Community Clinic, Inc | 199 W Main St, Fl 2, Shelby, OH 44875-1490 |
| Brianna K Sampsel | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Ujwala Pagedar | Internal Medicine | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Street Address |
200 PARK AVE W |
| City | MANSFIELD |
| State | OH |
| Zip | 44902-1608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Bowman | Nurse Practitioner | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Edward Ritenour | Internal Medicine | 43 E 4th St, Fourth and Diamond Med Clinic, Mansfield, OH 44902-1303 | |
| Kevin Lloyd Brown | Optometry | 70 Park Ave W, Mansfield, OH 44902-1675 |
| City | MANSFIELD |
| Zip Code | 44902 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MANSFIELD + EMERGENCY MEDICINE |
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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.