Antonius Susatyo Hadi, MD - Obstetrics & Gynecology in Boardman, OH

Antonius Susatyo Hadi, MD is a Obstetrics & Gynecology physician based in Boardman, Ohio. Antonius Susatyo Hadi is licensed to practice in Ohio (license number 35046065) and his current practice location is 8401 Market St, Boardman, Ohio. He can be reached at his office (for appointments etc.) via phone at (330) 729-4350.

NPI number for Antonius Susatyo Hadi is 1033296942 and his current mailing address is 8401 Market St, Boardman, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033296942.

Contact Information

Antonius Susatyo Hadi, MD
8401 Market St,
Boardman, OH 44512-6725
(330) 729-4350
(330) 729-4351



Physician's Profile

Full NameAntonius Susatyo Hadi
GenderMale
SpecialityObstetrics & Gynecology
Location8401 Market St, Boardman, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033296942
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 12/28/2016

Medical Identifiers

Medical identifiers for Antonius Susatyo Hadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033296942NPI-NPPES
H087621OtherOHMEDICARE PTAN
2444519MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 35046065 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antonius Susatyo Hadi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Antonius Susatyo Hadi, MD
8401 Market St,
Boardman, OH 44512-6725

Ph: (330) 729-4350
Antonius Susatyo Hadi, MD
8401 Market St,
Boardman, OH 44512-6725

Ph: (330) 729-4350

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Obstetrics & Gynecology Doctors in Boardman, OH

Dr. Jerome Chelliah, MD, MPH
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-4350    Fax: 330-729-4351
Joni S Canby, D.O.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 7600 Southern Blvd, Suite 1, Boardman, OH 44512
Phone: 330-629-8466    
Oscar Fouad Khawli, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 8423 Market St, Ste 207, Boardman, OH 44512
Phone: 330-729-7901    Fax: 330-729-7915
Dr. Antoine T El-hayek, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Boardman Canfield Rd, Boardman, OH 44512
Phone: 330-965-0909    Fax: 330-965-0897
Dr. Thomas Joseph Zarlingo, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 8423 Market St, Ste 207, Boardman, OH 44512
Phone: 330-729-7901    Fax: 330-729-7915
Dr. Jacques Serge St.julien, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-4350    Fax: 330-729-4351

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