| Ethos Care | |
|
675 Hobby Horse Ln Milford OH 45150-1461 | |
| (513) 443-1700 | |
| (855) 919-6229 |
| Full Name | Ethos Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 675 Hobby Horse Ln, Milford, Ohio |
| Authorized Official Name and Position | Newell Del Crane (PRESIDENT) |
| Authorized Official Contact | 5134049932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Care 675 Hobby Horse Ln Milford OH 45150-1461 Ph: (513) 443-1700 | Ethos Care 675 Hobby Horse Ln Milford OH 45150-1461 Ph: (513) 443-1700 |
| NPI Number | 1407325939 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 9638414204 |
|---|---|
| Medicare Enrollment ID | O20181231001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407325939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Mary Harrison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629006721 PECOS PAC ID: 2769468123 Enrollment ID: I20040625001077 |
| Provider Name | Dominic Gomes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144376856 PECOS PAC ID: 8820040298 Enrollment ID: I20050214000616 |
| Provider Name | Joy M Sedlock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285687186 PECOS PAC ID: 9133152879 Enrollment ID: I20050914000268 |
| Provider Name | Linda Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962602573 PECOS PAC ID: 1658422449 Enrollment ID: I20090708000414 |
| Provider Name | Ann M Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689822835 PECOS PAC ID: 4486706272 Enrollment ID: I20100927000941 |
| Provider Name | Alenna Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649728155 PECOS PAC ID: 6103106489 Enrollment ID: I20161201002386 |
| Provider Name | Anne E Pugliese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651686 PECOS PAC ID: 6002196946 Enrollment ID: I20161209001800 |
| Provider Name | Joanne H Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154752483 PECOS PAC ID: 7113145350 Enrollment ID: I20161222001364 |
| Provider Name | Kristin Holder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841708021 PECOS PAC ID: 7315282191 Enrollment ID: I20181226000619 |
| Provider Name | Tasha M Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982030219 PECOS PAC ID: 0143654756 Enrollment ID: I20200107000452 |
| Provider Name | Eula Ann Doering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326320474 PECOS PAC ID: 7719306471 Enrollment ID: I20200929002477 |
| Provider Name | Sarah Luzik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821510967 PECOS PAC ID: 8820493562 Enrollment ID: I20210818004146 |
| Provider Name | Cindy Opoku-antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759111 PECOS PAC ID: 9638568892 Enrollment ID: I20211110001627 |
| Provider Name | Ellise Kathryn Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548770415 PECOS PAC ID: 3476931387 Enrollment ID: I20220606001904 |
| Provider Name | Christina K Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417531799 PECOS PAC ID: 1254733637 Enrollment ID: I20220630002166 |
| Provider Name | Sharon Beth Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215428669 PECOS PAC ID: 4284025685 Enrollment ID: I20221014002788 |
| Provider Name | Sharon Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013090026 PECOS PAC ID: 3072641042 Enrollment ID: I20230622002516 |
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