| Abco Medical Center, L.l.c. | |
|
13535 Detroit Ave Ste 4 Lakewood OH 44107-4625 | |
| (216) 226-2626 | |
| (216) 226-6745 |
| Full Name | Abco Medical Center, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 13535 Detroit Ave Ste 4, Lakewood, Ohio |
| Authorized Official Name and Position | Abdul M. Orra (OWNER) |
| Authorized Official Contact | 2162262626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abco Medical Center, L.l.c. Po Box 357 North Olmsted OH 44070-0357 Ph: (216) 226-2626 | Abco Medical Center, L.l.c. 13535 Detroit Ave Ste 4 Lakewood OH 44107-4625 Ph: (216) 226-2626 |
| NPI Number | 1023384591 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 2567624828 |
|---|---|
| Medicare Enrollment ID | O20120502000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023384591 | NPI | - | NPPES |
| 0582570 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-003811 (Ohio) | Primary |
| Provider Name | Abdul M Orra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053474320 PECOS PAC ID: 8921123167 Enrollment ID: I20100913000221 |
Premier Physicians Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14600 Detroit Ave, Suite 103, Lakewood, OH 44107 Phone: 216-227-0717 Fax: 216-227-0827 | |
City Of Lakewood - Division Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12805 Detroit Ave, Lakewood, OH 44107 Phone: 216-529-7690 Fax: 216-529-5910 | |
Lake Point Medical Group,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15800 Detroit Ave Ste 2a, Lakewood, OH 44107 Phone: 216-226-8700 Fax: 216-221-3171 | |
Neighborhood Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11906 Madison Ave, Lakewood, OH 44107 Phone: 216-281-0872 | |
Neighborhood Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14306 Detroit Ave Rm A, Lakewood, OH 44107 Phone: 216-281-0872 Fax: 216-961-5429 | |
Nitin Govani Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13535 Detroit Ave, Suite-1, Lakewood, OH 44107 Phone: 216-521-3430 Fax: 216-521-5313 |