| Advanced Spine Joint And Wellness Center | |
|
5020 Victor Dr Medina OH 44256-9688 | |
| (330) 433-4243 | |
| (330) 721-6508 |
| Full Name | Advanced Spine Joint And Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 5020 Victor Dr, Medina, Ohio |
| Authorized Official Name and Position | Brandon Bupp (PARTNER) |
| Authorized Official Contact | 3303369500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Spine Joint And Wellness Center 5020 Victor Dr Medina OH 44256-9688 Ph: (330) 433-4243 | Advanced Spine Joint And Wellness Center 5020 Victor Dr Medina OH 44256-9688 Ph: (330) 433-4243 |
| NPI Number | 1376881144 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 6103066089 |
|---|---|
| Medicare Enrollment ID | O20130717000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376881144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John E Kocka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326124223 PECOS PAC ID: 4183538671 Enrollment ID: I20031118000886 |
| Provider Name | Tricia Nowacki Bedrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043223860 PECOS PAC ID: 4587687736 Enrollment ID: I20060113000243 |
| Provider Name | Brad M Picha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811020936 PECOS PAC ID: 1658540257 Enrollment ID: I20120806000188 |
| Provider Name | Matthew P Meehan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225333933 PECOS PAC ID: 2264679927 Enrollment ID: I20130516000568 |
| Provider Name | John M Milburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275975740 PECOS PAC ID: 1658596481 Enrollment ID: I20140710001012 |
| Provider Name | James Yanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750791653 PECOS PAC ID: 0749407799 Enrollment ID: I20140814001494 |
| Provider Name | Edwin Pierre Vines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780892091 PECOS PAC ID: 5395047609 Enrollment ID: I20160104001581 |
| Provider Name | Rufus W Jessup-savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134649379 PECOS PAC ID: 7517232424 Enrollment ID: I20171003005815 |
| Provider Name | Lilli Benck |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396215265 PECOS PAC ID: 4981944246 Enrollment ID: I20190322001687 |
| Provider Name | Cory Sieniawski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114481520 PECOS PAC ID: 4688902497 Enrollment ID: I20190817000186 |
| Provider Name | Jordan M Rutz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679938559 PECOS PAC ID: 5294067013 Enrollment ID: I20191029000895 |
| Provider Name | Sara Donnelly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104402171 PECOS PAC ID: 8426466152 Enrollment ID: I20221025000515 |
| Provider Name | William Steiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750099370 PECOS PAC ID: 6901278613 Enrollment ID: I20230206002994 |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Medina Rd Ste 220, Medina, OH 44256 Phone: 330-434-0543 | |
Kaiser Permanente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 108, Medina, OH 44256 Phone: 216-265-8844 Fax: 216-265-8890 | |
Medina County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Ledgewood Drive, Health Center, Medina, OH 44256 Phone: 330-723-9688 Fax: 330-723-9659 | |
Kase, Speelman, &cullen, M.d.'s, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 E Washington St, Ste 4b, Medina, OH 44256 Phone: 330-723-3256 Fax: 330-722-6731 | |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Medina Rd Ste 210, Medina, OH 44256 Phone: 330-375-3039 Fax: 234-312-2329 | |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 108, Medina, OH 44256 Phone: 216-265-8844 Fax: 216-265-8890 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Carrick Dr Ste 210, Medina, OH 44256 Phone: 330-725-3009 Fax: 330-722-7502 |