| Katie Rundle, FNP-C | |
| 18780 Bagley Rd # 104, Middleburg Heights, OH 44130-3304 | |
| (440) 816-5950 | |
| Not Available | 
| Full Name | Katie Rundle | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 18780 Bagley Rd # 104, Middleburg Heights, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821737529 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031341 (Ohio) | Primary | 
| Entity Name | Southwest General Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katie Rundle, FNP-C 1127 Erhart Northern Rd, Valley City, OH 44280-9553 Ph: (330) 635-1284 | Katie Rundle, FNP-C 18780 Bagley Rd # 104, Middleburg Heights, OH 44130-3304 Ph: (440) 816-5950 | 
| Laura Pesetsky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 Fax: 440-879-0084 | |
| Halle Lynch, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-845-0900 Fax: 440-842-9911 | |
| Mary K Pallotta, CNP, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7255 Old Oak Blvd, Middleburg Heights, OH 44130 Phone: 440-816-2525 Fax: 440-816-5437 | |
| Andrea Phillips, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7271 Engle Rd Ste 307, Middleburg Heights, OH 44130 Phone: 216-644-3852 | |
| Brian Tomcany Sr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7800 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-725-0576 | |
| Mrs. Debra Defranco, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16600 W Sprague Rd Ste 120, Middleburg Heights, OH 44130 Phone: 440-826-0500 | |
| Shantell Reid, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7225 Old Oak Blvd Ste 210, Middleburg Heights, OH 44130 Phone: 440-816-2761 Fax: 440-816-8065 |