| Addiction Angels Of America, Llc | |
|
4889 Sinclair Rd Suite 111 Columbus OH 43229-5432 | |
| (614) 886-4287 | |
| Not Available |
| Full Name | Addiction Angels Of America, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4889 Sinclair Rd, Columbus, Ohio |
| Authorized Official Name and Position | Roger Garcia (PRESIDENT) |
| Authorized Official Contact | 6143967850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Angels Of America, Llc 4889 Sinclair Rd Suite 111 Columbus OH 43229-5432 Ph: (614) 396-7850 | Addiction Angels Of America, Llc 4889 Sinclair Rd Suite 111 Columbus OH 43229-5432 Ph: (614) 886-4287 |
| NPI Number | 1396148375 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 8628354198 |
|---|---|
| Medicare Enrollment ID | O20170418000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396148375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | David P Keseg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679530307 PECOS PAC ID: 0840194809 Enrollment ID: I20040122000278 |
| Provider Name | Blayre R Tuggle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891756540 PECOS PAC ID: 3971565565 Enrollment ID: I20041027000041 |
| Provider Name | Randall A Colucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184618027 PECOS PAC ID: 8325004823 Enrollment ID: I20041207000318 |
| Provider Name | William D Fiorini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811961006 PECOS PAC ID: 1153324249 Enrollment ID: I20060809000551 |
| Provider Name | Judith Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407975790 PECOS PAC ID: 9931206430 Enrollment ID: I20070517000416 |
| Provider Name | Madelyn R Sartain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649356304 PECOS PAC ID: 3072707090 Enrollment ID: I20101103000414 |
| Provider Name | Roger Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366655656 PECOS PAC ID: 5193814762 Enrollment ID: I20180223002182 |
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