| Amjad Rass, Inc | |
|
61353 Southgate Rd Cambridge OH 43725-6607 | |
| (740) 435-8585 | |
| (740) 454-3790 |
| Full Name | Amjad Rass, Inc |
|---|---|
| Speciality | General Practice |
| Location | 61353 Southgate Rd, Cambridge, Ohio |
| Authorized Official Name and Position | Amjad Rass (OWNER/PROVIDER) |
| Authorized Official Contact | 7404358585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amjad Rass, Inc 61353 Southgate Rd Cambridge OH 43725-6607 Ph: (740) 435-8585 | Amjad Rass, Inc 61353 Southgate Rd Cambridge OH 43725-6607 Ph: (740) 435-8585 |
| NPI Number | 1063430932 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325074867 |
|---|---|
| Medicare Enrollment ID | O20050715000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063430932 | NPI | - | NPPES |
| DD6530 | Other | OH | RR M/C GROUP PROV # |
| 2612935 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Amjad Al Rass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184797367 PECOS PAC ID: 1850327396 Enrollment ID: I20050726000993 |
| Provider Name | Linda S Swallie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659360634 PECOS PAC ID: 3375694045 Enrollment ID: I20090620000034 |
| Provider Name | Mary Lou Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215441308 PECOS PAC ID: 5698020725 Enrollment ID: I20180716000845 |
| Provider Name | Christine L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740838895 PECOS PAC ID: 2668805896 Enrollment ID: I20191202002485 |
| Provider Name | Tylyn R Bova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467051318 PECOS PAC ID: 2567872831 Enrollment ID: I20210119001493 |
| Provider Name | Kerrie M Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811585532 PECOS PAC ID: 0648687350 Enrollment ID: I20210325000206 |
Edward L. Colby D.o. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61353 Southgate Rd, Suite#6, Cambridge, OH 43725 Phone: 740-432-3434 Fax: 740-432-4035 | |
Amjad Rass Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61353 Southgate Rd, Cambridge, OH 43725 Phone: 740-435-8585 | |
Superior Med Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10095 Brick Church Rd, Cambridge, OH 43725 Phone: 740-435-4022 Fax: 740-435-4028 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 Clark St, Cambridge, OH 43725 Phone: 740-891-9000 Fax: 740-891-9001 | |
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Courtney Bonner Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Clark St, Cambridge, OH 43725 Phone: 740-435-2525 |