Veselin Dimitrov, MD
Individual provider Active NPI Emergency Medicine Physician · Willard, OH
NPI 1194831495 · NPPES record last updated Jan 27, 2010
Key facts
- NPI
- 1194831495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35076535 (OH)
- Practice address
- 110 E Howard St
Willard, OH 44890-1611 - Phone
- (800) 514-1494
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031119000234 | OH | Practitioner - Family Practice |
1355255753 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Ohio Em-I Medical Services Professional Association | Emergency Medicine | Past | Accepting new patients |
| Tiffin Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio, Inc. | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Management Ohio, Inc | Emergency Medicine | Past | Accepting new patients |
| Nes of Shelby, Inc. | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Services Ohio, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 933-2811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35076535 | OH | Yes |
Addresses
Primary practice location
110 E Howard St
Willard, OH 44890-1611
Mailing address
6400 Atlantic Blvd
Jacksonville, FL 32211-8768
Phone (800) 639-0579
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159686 | Medicaid | OH | |
| 000000187190 | Other | OH | BCBS |
| P00168177 | Other | RR MCR |
Other providers in Willard, OH
- Kimberly Crisp
- Desiree Cummings
- Melodie Marie Cyrus
- Carolyn J Deaner
- Kyle Joseph Depinet
- Discount Drug Mart Inc
- Donn R Lidington DDS Inc
- Kaleigh Donnamiller
- Sarah Doughty
- Darrien M Douglas
All providers in Willard, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.