| Jordan Oddis, | |
|
7590 Auburn Rd, Concord Twp, OH 44077-9176 | |
| (440) 375-8100 | |
| Not Available |
| Full Name | Jordan Oddis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7590 Auburn Rd, Concord Twp, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396343695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.006652RX (Ohio) | Primary |
| 208600000X | Surgery | 50.006652RX (Ohio) | Secondary |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Entity Name | Ues Geauga, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841242997 PECOS PAC ID: 6406876002 Enrollment ID: O20051128000779 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Ues Geneva LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689919029 PECOS PAC ID: 4789827064 Enrollment ID: O20130905000813 |
| Entity Name | Emergency Medicine Physicians of Lake County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154763944 PECOS PAC ID: 0042444051 Enrollment ID: O20131007000784 |
| Entity Name | Ues Ahuja LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467883934 PECOS PAC ID: 5496985467 Enrollment ID: O20140313001425 |
| Entity Name | Magis Emergency Medicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801287511 PECOS PAC ID: 2769700392 Enrollment ID: O20150410002555 |
| Entity Name | New Manna Clg LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972149268 PECOS PAC ID: 2365789559 Enrollment ID: O20200228000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Oddis, 4019 Church St, Willoughby, OH 44094-6205 Ph: (440) 477-3081 | Jordan Oddis, 7590 Auburn Rd, Concord Twp, OH 44077-9176 Ph: (440) 375-8100 |
Stephen Tanoma Zahoransky, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7590 Auburn Rd, Concord Twp, OH 44077 Phone: 440-375-8100 |
Caleb Schwieterman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7590 Auburn Rd, Concord Twp, OH 44077 Phone: 440-375-8100 |
Joana A Zula, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7527 Fredle Dr, Concord Twp, OH 44077 Phone: 440-709-0055 Fax: 440-709-0056 |
Mr. John Ferenczy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7500 Auburn Rd, Concord Twp, OH 44077 Phone: 440-354-1607 |
Deborah A Manuel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7590 Auburn Rd, Concord Twp, OH 44077 Phone: 440-375-8100 |