| Antennie D Auld, NP-PMH | |
|
4212 State Route 306 Ste 100, Willoughby, OH 44094-9248 | |
| (440) 973-8400 | |
| (440) 201-6400 |
| Full Name | Antennie D Auld |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4212 State Route 306 Ste 100, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619499076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.020969 (Ohio) | Primary |
| Entity Name | Trihealth G Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295862944 PECOS PAC ID: 0749222651 Enrollment ID: O20050601000358 |
| Entity Name | New Pathways Cincinnati Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457139537 PECOS PAC ID: 1254786049 Enrollment ID: O20231013003220 |
| Mailing Address | Practice Location Address |
|---|---|
| Antennie D Auld, NP-PMH 11134 Luschek Dr, Blue Ash, OH 45241-2434 Ph: (513) 827-9274 | Antennie D Auld, NP-PMH 4212 State Route 306 Ste 100, Willoughby, OH 44094-9248 Ph: (440) 973-8400 |
Samantha C Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 866-389-2727 | |
Robert William Jonath, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Avenue, Willoughby, OH 44094 Phone: 440-953-9600 | |
Kimberly Vanik, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Ashley King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Arbor Dr, Willoughby, OH 44094 Phone: 440-339-0218 | |
Shanon Lee Mekesa Ellis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 440-946-7252 | |
Alexandria Uher, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Lisa Kuhen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36001 Euclid Ave, Suite C6, Willoughby, OH 44094 Phone: 440-946-0053 Fax: 440-946-1812 |