| Mobile Medical Inc | |
|
740 Commerce Dr Ste A, Perrysburg, OH 43551-5276 | |
| (502) 244-2420 | |
| (502) 996-8282 |
| Full Name | Mobile Medical Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 740 Commerce Dr Ste A, Perrysburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689620015 | NPI | - | NPPES |
| 2292077 | Medicaid | OH | |
| CK5026 | Other | OH | RAILROAD MEDICARE PIN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4665T1440 (Ohio) | Primary |
| Provider Name | Cynthia Mary Katzan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568417939 PECOS PAC ID: 7113823949 Enrollment ID: I20031211000255 |
| Provider Name | John M Slomsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740381284 PECOS PAC ID: 8224925375 Enrollment ID: I20040303000049 |
| Provider Name | John R Gwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568542173 PECOS PAC ID: 1254229206 Enrollment ID: I20040310000347 |
| Provider Name | Brian Kuvshinikov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962407908 PECOS PAC ID: 2567352305 Enrollment ID: I20040317000128 |
| Provider Name | Eric Beatty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316975576 PECOS PAC ID: 3678568581 Enrollment ID: I20040419001710 |
| Provider Name | Leone L Peeples |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649296930 PECOS PAC ID: 2264414614 Enrollment ID: I20040601001195 |
| Provider Name | Deborah Gerbetz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992799852 PECOS PAC ID: 3971588708 Enrollment ID: I20040623001670 |
| Provider Name | Jacqueline Martz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407884703 PECOS PAC ID: 9638159189 Enrollment ID: I20040723000950 |
| Provider Name | Ann Elaine Clifton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134268758 PECOS PAC ID: 7012989957 Enrollment ID: I20040810001551 |
| Provider Name | Andrew Feltz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225037393 PECOS PAC ID: 4880668235 Enrollment ID: I20040826000354 |
| Provider Name | Coleen Renee Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861565327 PECOS PAC ID: 3375507775 Enrollment ID: I20041116000405 |
| Provider Name | Scott J Giaimo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912967381 PECOS PAC ID: 2163488446 Enrollment ID: I20041208000610 |
| Provider Name | Cheryl Chilton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942241419 PECOS PAC ID: 8820041767 Enrollment ID: I20050302000957 |
| Provider Name | Tia M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730143769 PECOS PAC ID: 2365498052 Enrollment ID: I20050325000052 |
| Provider Name | Gary Alan Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750367959 PECOS PAC ID: 1850347006 Enrollment ID: I20050330000792 |
| Provider Name | David Andrew Barnovsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962407742 PECOS PAC ID: 3072550847 Enrollment ID: I20050413000406 |
| Provider Name | Sandra L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356342984 PECOS PAC ID: 7012951734 Enrollment ID: I20050614000730 |
| Provider Name | Richard D Sparrow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457354979 PECOS PAC ID: 7618902354 Enrollment ID: I20050930000223 |
| Provider Name | Amy Ketterer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225020506 PECOS PAC ID: 5294760559 Enrollment ID: I20051005000760 |
| Provider Name | Todd D Winkler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508812934 PECOS PAC ID: 2567484702 Enrollment ID: I20051230000501 |
| Provider Name | Alicia Sue Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619983657 PECOS PAC ID: 7315961190 Enrollment ID: I20060119000465 |
| Provider Name | Joan E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801842778 PECOS PAC ID: 1456375062 Enrollment ID: I20060123000582 |
| Provider Name | Stacia Waddle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326068685 PECOS PAC ID: 6800899063 Enrollment ID: I20060809000250 |
| Provider Name | Timothy A Frye |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659390367 PECOS PAC ID: 2264435007 Enrollment ID: I20060816000153 |
| Provider Name | Anita G Lawrenz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154376887 PECOS PAC ID: 1557365178 Enrollment ID: I20060912000616 |
| Provider Name | Stephanie A Klemencic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659340925 PECOS PAC ID: 3577590199 Enrollment ID: I20060922000124 |
| Provider Name | Holly V Yeatts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326073446 PECOS PAC ID: 3274538301 Enrollment ID: I20060925000326 |
| Provider Name | Robert J Dittoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184671174 PECOS PAC ID: 6305844051 Enrollment ID: I20061114000021 |
| Provider Name | John R Wood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073624755 PECOS PAC ID: 9032111653 Enrollment ID: I20070212000396 |
| Provider Name | Jon G Engle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043389505 PECOS PAC ID: 5698879062 Enrollment ID: I20070326000216 |
| Provider Name | Julia Ruffin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366527384 PECOS PAC ID: 3678664570 Enrollment ID: I20070807000482 |
| Provider Name | Karen J Kloman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245345420 PECOS PAC ID: 1557452950 Enrollment ID: I20070814000157 |
| Provider Name | Daniel Wayne Kirk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093838575 PECOS PAC ID: 0547355810 Enrollment ID: I20071002000008 |
| Provider Name | Frank G Stoddard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508889130 PECOS PAC ID: 1951491620 Enrollment ID: I20071218000469 |
| Provider Name | Nalini A Corpora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356455158 PECOS PAC ID: 2062594658 Enrollment ID: I20080205000357 |
| Provider Name | William F Metzger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730255605 PECOS PAC ID: 3971689381 Enrollment ID: I20080326000373 |
| Provider Name | Steven B Grossman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780687871 PECOS PAC ID: 5991774440 Enrollment ID: I20080326000605 |
| Provider Name | Erin K Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336311505 PECOS PAC ID: 9537233069 Enrollment ID: I20080801000202 |
| Provider Name | Alexandar Andrich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356348437 PECOS PAC ID: 1254352727 Enrollment ID: I20081014000000 |
| Provider Name | Stacy Weisend |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730354788 PECOS PAC ID: 6800950205 Enrollment ID: I20090130000000 |
| Provider Name | Erin M Smith Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558315929 PECOS PAC ID: 9032155536 Enrollment ID: I20090209000340 |
| Provider Name | Amy L Bell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104931765 PECOS PAC ID: 0941224505 Enrollment ID: I20090220000102 |
| Provider Name | Lorri Gallion |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073514634 PECOS PAC ID: 5092870204 Enrollment ID: I20090221000011 |
| Provider Name | Daisy M Diaz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548450323 PECOS PAC ID: 7214086560 Enrollment ID: I20090518000112 |
| Provider Name | Marlo B Lawrence |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851471973 PECOS PAC ID: 8628121324 Enrollment ID: I20090728000610 |
| Provider Name | Guy Barnaba Del Prince |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427051317 PECOS PAC ID: 1951436203 Enrollment ID: I20100312000001 |
| Provider Name | Brian T Landrum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801024047 PECOS PAC ID: 3577699875 Enrollment ID: I20100325000741 |
| Provider Name | Thomas F Vail |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821091000 PECOS PAC ID: 0547398091 Enrollment ID: I20100504000914 |
| Provider Name | Allen R Buskey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710103882 PECOS PAC ID: 3971633199 Enrollment ID: I20100615000686 |
| Provider Name | Heidi Marie Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801126156 PECOS PAC ID: 8426180803 Enrollment ID: I20100721000050 |
| Provider Name | Melanie J Ballard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700018520 PECOS PAC ID: 1658495254 Enrollment ID: I20100903000332 |
| Provider Name | Adrienne A Loretz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669665253 PECOS PAC ID: 0244419588 Enrollment ID: I20110119000766 |
| Provider Name | Tyler R Hudson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750518346 PECOS PAC ID: 3971659624 Enrollment ID: I20110211000488 |
| Provider Name | Allen Rice |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306153689 PECOS PAC ID: 0840476180 Enrollment ID: I20110520000361 |
| Provider Name | Mahbod Arefi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740476886 PECOS PAC ID: 0446347306 Enrollment ID: I20111012000452 |
| Provider Name | Leslie A Dixon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790780583 PECOS PAC ID: 0446245781 Enrollment ID: I20111028000586 |
| Provider Name | Bridgette Adair Milleson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689962862 PECOS PAC ID: 6901071976 Enrollment ID: I20111203000050 |
| Provider Name | Guinevere G Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023375102 PECOS PAC ID: 3577726249 Enrollment ID: I20120516000125 |
| Provider Name | Elizabeth E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982962973 PECOS PAC ID: 1557525425 Enrollment ID: I20120606000399 |
| Provider Name | Scott David Pycraft |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689945602 PECOS PAC ID: 6608030481 Enrollment ID: I20120606000579 |
| Provider Name | Antoinette G Paul |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851411342 PECOS PAC ID: 8628115441 Enrollment ID: I20120620000405 |
| Provider Name | Edward M Baynham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790913630 PECOS PAC ID: 2961668116 Enrollment ID: I20120717000325 |
| Provider Name | Darleen A Abadco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902105604 PECOS PAC ID: 4183880040 Enrollment ID: I20120720000163 |
| Provider Name | Kyle Robert Wire |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629261847 PECOS PAC ID: 5092971572 Enrollment ID: I20120727000465 |
| Provider Name | Stephen Kovach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447397468 PECOS PAC ID: 0446396923 Enrollment ID: I20121023000675 |
| Provider Name | Caroline A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235484270 PECOS PAC ID: 1951551142 Enrollment ID: I20121024000624 |
| Provider Name | Lynae A Pierson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952448961 PECOS PAC ID: 1052331808 Enrollment ID: I20130102000042 |
| Provider Name | Rachel Lefebvre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114204195 PECOS PAC ID: 4789838749 Enrollment ID: I20130129000442 |
| Provider Name | Dawn Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730424540 PECOS PAC ID: 6608020235 Enrollment ID: I20130207000463 |
| Provider Name | Deborah Revell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366887507 PECOS PAC ID: 2668610619 Enrollment ID: I20130603000336 |
| Provider Name | Jessica L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760823603 PECOS PAC ID: 0143462168 Enrollment ID: I20130805000037 |
| Provider Name | Karilynn Leedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801236468 PECOS PAC ID: 4486897337 Enrollment ID: I20130826000549 |
| Provider Name | Michael Joseph Skuza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407088321 PECOS PAC ID: 6103069513 Enrollment ID: I20130904000935 |
| Provider Name | Pamela Ann Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780012864 PECOS PAC ID: 1850527961 Enrollment ID: I20131120000600 |
| Provider Name | Bridget P Kanary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902232457 PECOS PAC ID: 4183850761 Enrollment ID: I20140325002169 |
| Provider Name | Jennifer Lynn Findling |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124048475 PECOS PAC ID: 1254362494 Enrollment ID: I20140423000445 |
| Provider Name | Ashley Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174952204 PECOS PAC ID: 9537392451 Enrollment ID: I20140430001188 |
| Provider Name | Jobeth Rollandini |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013204908 PECOS PAC ID: 0244458479 Enrollment ID: I20140828002447 |
| Provider Name | Jeffrey S. Leider |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548259641 PECOS PAC ID: 5698776714 Enrollment ID: I20141008001978 |
| Provider Name | Sarah Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659787679 PECOS PAC ID: 7517280548 Enrollment ID: I20141226000166 |
| Provider Name | Maria-cristina Canella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427463272 PECOS PAC ID: 8628392909 Enrollment ID: I20150114001264 |
| Provider Name | Emmett Cleary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023027646 PECOS PAC ID: 2961729678 Enrollment ID: I20150317002475 |
| Provider Name | Barbara M Goldschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193039 PECOS PAC ID: 4587985163 Enrollment ID: I20150608002020 |
| Provider Name | Kelly Marie Schneiders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447689575 PECOS PAC ID: 1658692017 Enrollment ID: I20150610001767 |
| Provider Name | Irina Gross |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992932941 PECOS PAC ID: 3173773363 Enrollment ID: I20150820012319 |
| Provider Name | Amber N Slezak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689084113 PECOS PAC ID: 5890002083 Enrollment ID: I20150921002629 |
| Provider Name | Clifton D Turner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801271754 PECOS PAC ID: 3577871508 Enrollment ID: I20150924001845 |
| Provider Name | Mark Mcmurray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508946542 PECOS PAC ID: 9830107549 Enrollment ID: I20150924003171 |
| Provider Name | Tonisha Monique Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053778332 PECOS PAC ID: 8224334826 Enrollment ID: I20160308001735 |
| Provider Name | Tiffany Burick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659710499 PECOS PAC ID: 8123260635 Enrollment ID: I20160411001085 |
| Provider Name | Jonathan Augustine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316380595 PECOS PAC ID: 7113157603 Enrollment ID: I20160526002353 |
| Provider Name | Sondra Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225466469 PECOS PAC ID: 3375834104 Enrollment ID: I20160624001065 |
| Provider Name | Amanda Louise Eilerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467803213 PECOS PAC ID: 8325330335 Enrollment ID: I20160712002780 |
| Provider Name | Jennifer Flo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689695306 PECOS PAC ID: 6103823299 Enrollment ID: I20161013001452 |
| Provider Name | Jonathan Peter King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508218785 PECOS PAC ID: 7214225895 Enrollment ID: I20161013002661 |
| Provider Name | Idowu Oluwaseum Awosika |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427289248 PECOS PAC ID: 4981741857 Enrollment ID: I20161017002335 |
| Provider Name | Nicholas Smith |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255465241 PECOS PAC ID: 9739404773 Enrollment ID: I20170112002735 |
| Provider Name | Sherrun L Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508315706 PECOS PAC ID: 0648552257 Enrollment ID: I20170113002607 |
| Provider Name | Ryan M Meers |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316331465 PECOS PAC ID: 9830403674 Enrollment ID: I20170117001814 |
| Provider Name | Tanisha Lanise Brown |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235548926 PECOS PAC ID: 3375825946 Enrollment ID: I20170117001841 |
| Provider Name | Michael G Dillon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700923497 PECOS PAC ID: 0749562213 Enrollment ID: I20170117002217 |
| Provider Name | Eugenia Anna Sarris |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760545677 PECOS PAC ID: 4880976893 Enrollment ID: I20170127001368 |
| Provider Name | Richard A Lewandowski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083816771 PECOS PAC ID: 3678855590 Enrollment ID: I20170127002512 |
| Provider Name | Frances Ann Ladopoulos |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134347099 PECOS PAC ID: 3173775848 Enrollment ID: I20170131001589 |
| Provider Name | Joan Musgrave |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245333806 PECOS PAC ID: 2567747967 Enrollment ID: I20170328000202 |
| Provider Name | Ayman M Ali |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053461210 PECOS PAC ID: 0345418869 Enrollment ID: I20170330002255 |
| Provider Name | Mark Steven Selzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902337363 PECOS PAC ID: 1557647690 Enrollment ID: I20170404001462 |
| Provider Name | Sarah Lynn Wertsbaugh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811397896 PECOS PAC ID: 9335429471 Enrollment ID: I20170512000744 |
| Provider Name | Stuart Klassman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710066592 PECOS PAC ID: 3476820929 Enrollment ID: I20170605000719 |
| Provider Name | Tiffany Liu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356743447 PECOS PAC ID: 8022386986 Enrollment ID: I20170616002051 |
| Provider Name | Wayne Wallace |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154460459 PECOS PAC ID: 7416256235 Enrollment ID: I20170802003559 |
| Provider Name | Jacqueline A Scheck |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518495357 PECOS PAC ID: 6103198833 Enrollment ID: I20170815004609 |
| Provider Name | James Alex Martin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710909049 PECOS PAC ID: 1557635190 Enrollment ID: I20170921000708 |
| Provider Name | Amirah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366966020 PECOS PAC ID: 0547534778 Enrollment ID: I20170926003555 |
| Provider Name | Ella Zarbailov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730625724 PECOS PAC ID: 4183999220 Enrollment ID: I20170929000519 |
| Provider Name | Anthony Hall |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235269978 PECOS PAC ID: 8527333137 Enrollment ID: I20171009000645 |
| Provider Name | Mckenzie Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801305859 PECOS PAC ID: 9638445562 Enrollment ID: I20171020002405 |
| Provider Name | Angela K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962911412 PECOS PAC ID: 2466711809 Enrollment ID: I20180110003566 |
| Provider Name | Stephanie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647033 PECOS PAC ID: 9335400860 Enrollment ID: I20180226002130 |
| Provider Name | Lisa M Koch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609119700 PECOS PAC ID: 1355602749 Enrollment ID: I20180227002425 |
| Provider Name | Sonya N Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609384825 PECOS PAC ID: 6002178738 Enrollment ID: I20180316001948 |
| Provider Name | Solomon Lomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912362138 PECOS PAC ID: 8628331667 Enrollment ID: I20180404002043 |
| Provider Name | Lauren Elizabeth Hinkston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801301338 PECOS PAC ID: 3870857311 Enrollment ID: I20180508002632 |
| Provider Name | Daniel Adams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821589375 PECOS PAC ID: 3971868423 Enrollment ID: I20180604001238 |
| Provider Name | Daria S Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700034295 PECOS PAC ID: 9335494764 Enrollment ID: I20180626001281 |
| Provider Name | Caitlin Marie Imhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932692183 PECOS PAC ID: 4284980509 Enrollment ID: I20180628002470 |
| Provider Name | Kelly Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578052049 PECOS PAC ID: 1153677257 Enrollment ID: I20180703001093 |
| Provider Name | Leslie Marie Stegall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356875397 PECOS PAC ID: 3971854720 Enrollment ID: I20180918003928 |
| Provider Name | Mareesa T Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740758424 PECOS PAC ID: 4082959309 Enrollment ID: I20181214000729 |
| Provider Name | Michelle Leeann Seibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447742390 PECOS PAC ID: 1254671522 Enrollment ID: I20190322002083 |
| Provider Name | Latoya Chamere Ricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467910117 PECOS PAC ID: 8729328794 Enrollment ID: I20190329001016 |
| Provider Name | Laura Hamman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316503014 PECOS PAC ID: 4385979939 Enrollment ID: I20190718001386 |
| Provider Name | Shayne Erman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740637685 PECOS PAC ID: 4082941232 Enrollment ID: I20190809001870 |
| Provider Name | Robyn Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851858948 PECOS PAC ID: 5698002517 Enrollment ID: I20190814002994 |
| Provider Name | Kathleen Schalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851938948 PECOS PAC ID: 2466886171 Enrollment ID: I20200103002061 |
| Provider Name | Nicholas Flebotte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598318610 PECOS PAC ID: 8729419239 Enrollment ID: I20200518002420 |
| Provider Name | Esther Lautz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023634847 PECOS PAC ID: 1456773159 Enrollment ID: I20200625003085 |
| Provider Name | Chelsey Hershfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053853929 PECOS PAC ID: 1759706351 Enrollment ID: I20200729003568 |
| Provider Name | Jodie Gervais |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457833287 PECOS PAC ID: 9335559988 Enrollment ID: I20201110001682 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548876949 PECOS PAC ID: 0648682492 Enrollment ID: I20201218001859 |
| Provider Name | David A. Luther |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700132073 PECOS PAC ID: 5193139673 Enrollment ID: I20210125000399 |
| Provider Name | Sawyer Robert Ellis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679195531 PECOS PAC ID: 4587081526 Enrollment ID: I20210126000232 |
| Provider Name | Shawn Pepera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902410020 PECOS PAC ID: 5597172106 Enrollment ID: I20210326001870 |
| Provider Name | Kristyn N Reser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942810338 PECOS PAC ID: 9931508652 Enrollment ID: I20210601001225 |
| Provider Name | Robin Gayle Cobbs Min |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264170 PECOS PAC ID: 2264854074 Enrollment ID: I20210625001045 |
| Provider Name | Alexander Brewer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588903058 PECOS PAC ID: 9931326204 Enrollment ID: I20220103000305 |
| Provider Name | Brenda George |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285892828 PECOS PAC ID: 1355404690 Enrollment ID: I20220120002623 |
| Provider Name | Sara Jane Twardowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528307667 PECOS PAC ID: 9638315591 Enrollment ID: I20220225001613 |
| Provider Name | Sara V Kallini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770911992 PECOS PAC ID: 4486040482 Enrollment ID: I20220330002687 |
| Provider Name | Shaun Hajjari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154809887 PECOS PAC ID: 0345590097 Enrollment ID: I20220614002662 |
| Provider Name | Cheryl Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740728385 PECOS PAC ID: 6901285345 Enrollment ID: I20220615002164 |
| Provider Name | Rachel Robinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205399706 PECOS PAC ID: 3870826894 Enrollment ID: I20220818001924 |
| Provider Name | Kelly Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902579238 PECOS PAC ID: 5991189326 Enrollment ID: I20220901002933 |
| Provider Name | Rebekah Joy Grefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134886575 PECOS PAC ID: 3072989326 Enrollment ID: I20221012001196 |
| Provider Name | Sheilha Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861128068 PECOS PAC ID: 6608243209 Enrollment ID: I20221111000609 |
| Provider Name | Christy Lynn Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770298580 PECOS PAC ID: 9032581541 Enrollment ID: I20230209002315 |
| Provider Name | Anna Laura Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407569601 PECOS PAC ID: 9335510908 Enrollment ID: I20230213000944 |
| Provider Name | Briana Rullmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831801125 PECOS PAC ID: 6002277837 Enrollment ID: I20230726003037 |
| Provider Name | Rachel C Mazzola |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366062093 PECOS PAC ID: 1355772070 Enrollment ID: I20230921002301 |
| Provider Name | Meaghan Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306494604 PECOS PAC ID: 6204268303 Enrollment ID: I20231102001361 |
| Provider Name | Anas Siddiqi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578139481 PECOS PAC ID: 0345640900 Enrollment ID: I20240213000977 |
| Provider Name | Alexa Ives |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205492998 PECOS PAC ID: 4981930120 Enrollment ID: I20240301003631 |
| Provider Name | Nathan Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295314268 PECOS PAC ID: 9436696440 Enrollment ID: I20240807002759 |
| Provider Name | Clarinda Jones-washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588262513 PECOS PAC ID: 6507273877 Enrollment ID: I20241014000618 |
| Provider Name | Abigail Grace Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265268767 PECOS PAC ID: 9537694799 Enrollment ID: I20241125001600 |
| Provider Name | Natalie Renay Klingenbeck |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801378336 PECOS PAC ID: 9537699921 Enrollment ID: I20250214001447 |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Inc 12910 Shelbyville Rd Ste 300, Louisville, KY 40243-2404 Ph: (502) 813-4415 | Mobile Medical Inc 740 Commerce Dr Ste A, Perrysburg, OH 43551-5276 Ph: (502) 244-2420 |
Dr. John Rolland Wood, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0393 Fax: 419-874-0394 | |
Kathryn Hohman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5150 Chappel Dr, Perrysburg, OH 43551 Phone: 419-873-7446 | |
Andrew D. Feltz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0393 Fax: 419-874-0394 | |
Dr. Jay Remington Meents, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 28370 Kensington Ln Ste A, Perrysburg, OH 43551 Phone: 419-874-3125 | |
Modern Heritage Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5150 Chappel Dr, Perrysburg, OH 43551 Phone: 419-873-7446 | |
Austin L Saneholtz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1021 Sandusky St Ste E, Perrysburg, OH 43551 Phone: 419-874-3661 Fax: 419-872-5195 | |
Perrysburg Eye Center, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 28370 Kensington Ln, Suite A, Perrysburg, OH 43551 Phone: 419-874-3125 Fax: 419-874-8606 |