Gregory Louis Arko, D.O.

Individual provider Active NPI Body Imaging Physician · Medina, OH

NPI 1891884466 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891884466
Entity type
Individual (NPI type 1)
Primary specialty
Body Imaging Physician 2085B0100X
License
34-00-2467 (OH)
Practice address
1000 E Washington St
Medina, OH 44256-2170
Phone
(330) 721-5174
Fax
(330) 721-4908
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2467OHMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 34-00-2467 OH Yes

Addresses

Primary practice location

1000 E Washington St
Medina, OH 44256-2170

Mailing address

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 721-5174

Other identifiers

IdentifierTypeStateIssuer
0752743MedicaidOH

Other providers in Medina, OH

All providers in Medina, OH · Body Imaging Physician in Ohio

Sources for this page

Verify at the official NPI Registry.