| Ameriwound Physicians Nj Llc | |
|
6150 Parkland Blvd Ste 225 Mayfield Heights OH 44124-4103 | |
| (216) 273-9800 | |
| (216) 273-9998 |
| Full Name | Ameriwound Physicians Nj Llc |
|---|---|
| Speciality | General Practice |
| Location | 6150 Parkland Blvd Ste 225, Mayfield Heights, Ohio |
| Authorized Official Name and Position | Samson Fixler (ASSISTANT SECRETARY) |
| Authorized Official Contact | 2162739800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ameriwound Physicians Nj Llc 6150 Parkland Blvd Ste 225 Mayfield Heights OH 44124-4103 Ph: (216) 273-9800 | Ameriwound Physicians Nj Llc 6150 Parkland Blvd Ste 225 Mayfield Heights OH 44124-4103 Ph: (216) 273-9800 |
| NPI Number | 1962807156 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 0547541500 |
|---|---|
| Medicare Enrollment ID | O20170105000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962807156 | NPI | - | NPPES |
| 564222 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mohammad Farrukh Ali Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730179276 PECOS PAC ID: 6305894825 Enrollment ID: I20050111000435 |
| Provider Name | Andrea L Strauss |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033251632 PECOS PAC ID: 5193741478 Enrollment ID: I20051017000143 |
| Provider Name | Duane A Fredericks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184618886 PECOS PAC ID: 1254350648 Enrollment ID: I20110729000128 |
| Provider Name | Maryann Esposito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538120159 PECOS PAC ID: 7113084864 Enrollment ID: I20220126000038 |
| Provider Name | Magid Keramati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750584371 PECOS PAC ID: 4880730399 Enrollment ID: I20220907002158 |
| Provider Name | Steven Carl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982265187 PECOS PAC ID: 6507230752 Enrollment ID: I20230330000201 |
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