S Justin Michael Eagleston
S Justin Michael Eagleston is a General Surgery in Ontario, Ohio. Qualified in 2016, 10 years ago. Practices with North Central Ohio Family Care Center Inc, a 193-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 10
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
715 Richland MallOntario, OH 44906-3802
Phone: (567) 307-7854
Fax: (567) 307-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 35.148903 (OH) |
|---|
Record details
| NPI number | 1942663554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2016 |
| Last updated in NPPES | October 19, 2023 |
| Certification date | October 19, 2023 |
| Mailing address | 700 N Columbus St, Crestline, OH 44827-1455 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | North Central Ohio Family Care Center Inc — 193 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Ontario
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Dr. David S Zaghlool, DO
715 Richland Mall, Ontario, OH 44906 · (567) 307-7930