| John P Imm, MD | |
|
5700 Monroe St Unit 111, Sylvania, OH 43560-2779 | |
| (567) 585-0005 | |
| (567) 585-0007 |
| Full Name | John P Imm |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5700 Monroe St Unit 111, Sylvania, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215939848 | NPI | - | NPPES |
| 000000277395 | Other | OH | AZNTHEM |
| 04213 | Other | OH | PARAMOUNT |
| 0992010 | Medicaid | OH | |
| 080191952 | Other | OH | RRMC |
| 15-70029 | Other | OH | UHC |
| 4553666 | Other | OH | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35064477 (Ohio) | Primary |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| John P Imm, MD 410 Birchard Ave, Fremont, OH 43420-2967 Ph: (419) 334-8943 | John P Imm, MD 5700 Monroe St Unit 111, Sylvania, OH 43560-2779 Ph: (567) 585-0005 |
James J Bomer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St Unit 206, Sylvania, OH 43560 Phone: 419-473-6601 Fax: 419-479-6966 | |
Phillip H Fisher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7640 W. Sylvania, Suite K, Sylvania, OH 43560 Phone: 419-517-1001 Fax: 419-517-1021 | |
James D Diethelm, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7640 Sylvania Avenue, #100, Sylvania, OH 43560 Phone: 419-473-2273 Fax: 419-473-0474 | |
Todd P Francis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St Unit 203, Sylvania, OH 43560 Phone: 419-843-8100 Fax: 419-841-4681 | |
Dr. Kristin E Woodard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7640 Sylvania Ave, Suite K, Sylvania, OH 43560 Phone: 419-517-1001 Fax: 419-517-1021 | |
Lori C Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5700 Monroe St Unit 203, Sylvania, OH 43560 Phone: 419-843-8100 Fax: 419-841-4681 | |
Dr. Cuneyd A Tolek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St, #204, Sylvania, OH 43560 Phone: 567-585-0090 Fax: 567-585-0093 |