| Bloomington Medical Services LLC | |
|
1761 Beall Ave Wooster OH 44691-2342 | |
| (330) 263-8428 | |
| (330) 263-8190 |
| Full Name | Bloomington Medical Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1761 Beall Ave, Wooster, Ohio |
| Authorized Official Name and Position | Laurie M Tate (CREDENTIALING) |
| Authorized Official Contact | 3302638763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Medical Services LLC 1761 Beall Ave Wooster OH 44691-2342 Ph: (330) 263-8428 | Bloomington Medical Services LLC 1761 Beall Ave Wooster OH 44691-2342 Ph: (330) 263-8428 |
| NPI Number | 1528246683 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 02/05/2015 |
| Medicare PECOS PAC ID | 9032297627 |
|---|---|
| Medicare Enrollment ID | O20080422000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528246683 | NPI | - | NPPES |
| 2836560 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35077131 (Ohio) | Primary |
| Provider Name | Michael M Hughes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043312978 PECOS PAC ID: 7719890581 Enrollment ID: I20031209000810 |
| Provider Name | Cyril S Ofori |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427168848 PECOS PAC ID: 0840103735 Enrollment ID: I20031210000101 |
| Provider Name | Steven M Wyles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568558898 PECOS PAC ID: 1355235755 Enrollment ID: I20040209000269 |
| Provider Name | Srinivasa Dinakar Satti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265411243 PECOS PAC ID: 6305734898 Enrollment ID: I20040308000046 |
| Provider Name | Mohamud Si Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700869377 PECOS PAC ID: 4981697935 Enrollment ID: I20040406000208 |
| Provider Name | Loren M Kirchner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952382285 PECOS PAC ID: 2163419011 Enrollment ID: I20040430000638 |
| Provider Name | Barbara J Tickton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588711246 PECOS PAC ID: 3971562034 Enrollment ID: I20041005001157 |
| Provider Name | David Akwainja Kittoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730149154 PECOS PAC ID: 9931164555 Enrollment ID: I20041123000606 |
| Provider Name | Stacy L Hollister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134159577 PECOS PAC ID: 3577505932 Enrollment ID: I20050525000880 |
| Provider Name | Mary C Sementi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770653966 PECOS PAC ID: 7618946609 Enrollment ID: I20051104000377 |
| Provider Name | Mark J Tereletsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881673614 PECOS PAC ID: 8426079849 Enrollment ID: I20051213000847 |
| Provider Name | Megan Correll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821035551 PECOS PAC ID: 4385654151 Enrollment ID: I20060425000507 |
| Provider Name | Teresa H Ghazoul |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265475370 PECOS PAC ID: 8628080876 Enrollment ID: I20060707000128 |
| Provider Name | Christopher Behr Ranney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265402499 PECOS PAC ID: 5496758146 Enrollment ID: I20060817000623 |
| Provider Name | Arsal Ahmad |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700893104 PECOS PAC ID: 7012913015 Enrollment ID: I20061016000167 |
| Provider Name | Michelle M Mcconnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073619821 PECOS PAC ID: 9739188863 Enrollment ID: I20061218000493 |
| Provider Name | Arshad Rehan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922171412 PECOS PAC ID: 1153338215 Enrollment ID: I20070126000127 |
| Provider Name | Joel Rahman Simmons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487861688 PECOS PAC ID: 6406955236 Enrollment ID: I20070620000196 |
| Provider Name | James Mooney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740292853 PECOS PAC ID: 8325148885 Enrollment ID: I20070712000522 |
| Provider Name | Trisha Doran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164573317 PECOS PAC ID: 2668552092 Enrollment ID: I20080110000280 |
| Provider Name | Ileana a Greavu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548390289 PECOS PAC ID: 5395820161 Enrollment ID: I20080304000890 |
| Provider Name | Holly K Wyneski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467642496 PECOS PAC ID: 7315026028 Enrollment ID: I20080507000077 |
| Provider Name | Anand Kancherla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538195201 PECOS PAC ID: 4486728219 Enrollment ID: I20080728000715 |
| Provider Name | Steven Allen Wanek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194995480 PECOS PAC ID: 0547324394 Enrollment ID: I20090123000137 |
| Provider Name | Matthew P Wayt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427085844 PECOS PAC ID: 7517017569 Enrollment ID: I20090612000093 |
| Provider Name | Samer Azouz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275532129 PECOS PAC ID: 1951291541 Enrollment ID: I20090622000283 |
| Provider Name | John Weeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134100308 PECOS PAC ID: 0547287419 Enrollment ID: I20090923000065 |
| Provider Name | Kathleen Fearon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699775932 PECOS PAC ID: 1658328604 Enrollment ID: I20091104000271 |
| Provider Name | Paul M Mcghee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083613814 PECOS PAC ID: 8426197393 Enrollment ID: I20091207000166 |
| Provider Name | Rodney a Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033118765 PECOS PAC ID: 6709934110 Enrollment ID: I20091207000176 |
| Provider Name | Douglas R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902883507 PECOS PAC ID: 8628119724 Enrollment ID: I20100112000440 |
| Provider Name | Mansour Isckarus |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770581787 PECOS PAC ID: 4183711229 Enrollment ID: I20100125000016 |
| Provider Name | Toni Michelle King |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275504672 PECOS PAC ID: 9638208390 Enrollment ID: I20100519000276 |
| Provider Name | Andrea L Huff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992035919 PECOS PAC ID: 7214067966 Enrollment ID: I20100607000914 |
| Provider Name | Raymond J Baddour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508875634 PECOS PAC ID: 3971634304 Enrollment ID: I20100629000840 |
| Provider Name | Nagapradeep Nagajothi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144218074 PECOS PAC ID: 7719910918 Enrollment ID: I20100803000215 |
| Provider Name | Paul R Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912187071 PECOS PAC ID: 0941334510 Enrollment ID: I20100818000403 |
| Provider Name | Breanne Renee Pompey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598072605 PECOS PAC ID: 7517153893 Enrollment ID: I20101129000734 |
| Provider Name | Sharon E Marcanthony |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508046012 PECOS PAC ID: 8921284894 Enrollment ID: I20110511000396 |
| Provider Name | Jennifer R Vandevelde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801036124 PECOS PAC ID: 4688851751 Enrollment ID: I20110527000354 |
| Provider Name | Prakash Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812497 PECOS PAC ID: 8527232891 Enrollment ID: I20111122000930 |
| Provider Name | Anne M Chicorelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922339308 PECOS PAC ID: 5092980060 Enrollment ID: I20111203000049 |
| Provider Name | Ben K Weeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164463121 PECOS PAC ID: 5799745907 Enrollment ID: I20111207000573 |
| Provider Name | Molly S Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518014562 PECOS PAC ID: 3072772284 Enrollment ID: I20120307000779 |
| Provider Name | Elizabeth M Yu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699896688 PECOS PAC ID: 7214028620 Enrollment ID: I20120907000224 |
| Provider Name | Autumn Lee White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992967467 PECOS PAC ID: 4486807716 Enrollment ID: I20130116000428 |
| Provider Name | Amanda K Griffith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134471105 PECOS PAC ID: 1254584469 Enrollment ID: I20130118000240 |
| Provider Name | Derek Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124348842 PECOS PAC ID: 7911911342 Enrollment ID: I20130328000268 |
| Provider Name | Kathryn C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871804575 PECOS PAC ID: 0446492706 Enrollment ID: I20130815000655 |
| Provider Name | Christina S Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154762235 PECOS PAC ID: 6901049873 Enrollment ID: I20130823001207 |
| Provider Name | Ray Walter Eshenaur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255598181 PECOS PAC ID: 8628203551 Enrollment ID: I20131031001623 |
| Provider Name | Maurice Aaron Alston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999021 PECOS PAC ID: 2961649728 Enrollment ID: I20140430002313 |
| Provider Name | Ama Nkyima Nuamah |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225316276 PECOS PAC ID: 2668696493 Enrollment ID: I20140617000931 |
| Provider Name | Joseph S Borruso |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689804270 PECOS PAC ID: 9931324167 Enrollment ID: I20140702001088 |
| Provider Name | Ifijen M Oleghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851661995 PECOS PAC ID: 9335364090 Enrollment ID: I20140714001188 |
| Provider Name | Christine Elizabeth Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053724831 PECOS PAC ID: 3870710536 Enrollment ID: I20140804002432 |
| Provider Name | Tyra R Schlabach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710395975 PECOS PAC ID: 4082832977 Enrollment ID: I20140908001048 |
| Provider Name | Tamera L Robotham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164656971 PECOS PAC ID: 1557504941 Enrollment ID: I20140916002064 |
| Provider Name | Gina Rose Dotterer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194129189 PECOS PAC ID: 2163744483 Enrollment ID: I20141122000328 |
| Provider Name | Michael R Dotterer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194120493 PECOS PAC ID: 3678897618 Enrollment ID: I20150121001707 |
| Provider Name | Dylan Childs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083925705 PECOS PAC ID: 0345566105 Enrollment ID: I20150313001472 |
| Provider Name | Tim Ivan Moomaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386035954 PECOS PAC ID: 6103144597 Enrollment ID: I20150415000918 |
| Provider Name | Stacey E Swindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588052757 PECOS PAC ID: 1153640933 Enrollment ID: I20150428002272 |
| Provider Name | Steven Alan Widmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740418995 PECOS PAC ID: 4082830864 Enrollment ID: I20150810002788 |
| Provider Name | Casey a Hudak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841661816 PECOS PAC ID: 7113236308 Enrollment ID: I20151029001796 |
| Provider Name | Cory Dustin Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346611316 PECOS PAC ID: 4789994872 Enrollment ID: I20151102000730 |
| Provider Name | Mark a Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235597048 PECOS PAC ID: 3173828308 Enrollment ID: I20160225000435 |
| Provider Name | Anthony M Calabretta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003106089 PECOS PAC ID: 7618110271 Enrollment ID: I20160721001178 |
| Provider Name | Alycia Gail Findlay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720420052 PECOS PAC ID: 4486963493 Enrollment ID: I20160727001810 |
| Provider Name | Salvatore J Savona |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841533312 PECOS PAC ID: 1456580182 Enrollment ID: I20160809001052 |
| Provider Name | Steven a Walston |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053623397 PECOS PAC ID: 0648411272 Enrollment ID: I20160829002050 |
| Provider Name | Danielle D Byler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316491756 PECOS PAC ID: 8325326382 Enrollment ID: I20161025002730 |
| Provider Name | Eric J Turney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649478041 PECOS PAC ID: 9638300437 Enrollment ID: I20161118001672 |
| Provider Name | Kelly Renee Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538611934 PECOS PAC ID: 7416237557 Enrollment ID: I20161207002530 |
| Provider Name | Joseph Prah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689787731 PECOS PAC ID: 7911071956 Enrollment ID: I20170202002452 |
| Provider Name | Carmen Barkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720526056 PECOS PAC ID: 0941585558 Enrollment ID: I20170322001827 |
| Provider Name | Efewongbe B Oleghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003224577 PECOS PAC ID: 8224305214 Enrollment ID: I20170523000787 |
| Provider Name | John H Roof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275067670 PECOS PAC ID: 6204104094 Enrollment ID: I20170620001976 |
| Provider Name | Ellen Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558899237 PECOS PAC ID: 0143591164 Enrollment ID: I20170809000387 |
| Provider Name | Nicholas E Spittle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487001228 PECOS PAC ID: 8628343969 Enrollment ID: I20171012000613 |
| Provider Name | Thomas Bender |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003063728 PECOS PAC ID: 9830254663 Enrollment ID: I20171121002240 |
| Provider Name | Chinedu Angela Igwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710207519 PECOS PAC ID: 1951545839 Enrollment ID: I20180108002964 |
| Provider Name | Nana Yaa a Koram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518349885 PECOS PAC ID: 7214291756 Enrollment ID: I20180508002673 |
| Provider Name | Joseph Baah Agyepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817003 PECOS PAC ID: 7315247681 Enrollment ID: I20180515002057 |
| Provider Name | Nicholas F Kotsonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487922241 PECOS PAC ID: 0749587178 Enrollment ID: I20180703003207 |
| Provider Name | Ahmad S Siddiqi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841532264 PECOS PAC ID: 5092065854 Enrollment ID: I20180829002236 |
| Provider Name | Joseph a Wapenski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487654281 PECOS PAC ID: 1153229463 Enrollment ID: I20190214001619 |
| Provider Name | Michael D Castillo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417951211 PECOS PAC ID: 1254370653 Enrollment ID: I20190405001154 |
| Provider Name | Charles Jason Novince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518500990 PECOS PAC ID: 0941634018 Enrollment ID: I20191223002386 |
| Provider Name | Stacie R Kobylanski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841830916 PECOS PAC ID: 9537597992 Enrollment ID: I20200317002642 |
| Provider Name | Kimberly Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730712530 PECOS PAC ID: 5193155778 Enrollment ID: I20200422001878 |
| Provider Name | Dannielle L Mellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083846521 PECOS PAC ID: 3870923287 Enrollment ID: I20200427002681 |
| Provider Name | Lauren M Rufener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811458300 PECOS PAC ID: 9638509938 Enrollment ID: I20200429002525 |
| Provider Name | Adham Mohamed Karim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184140410 PECOS PAC ID: 7416206164 Enrollment ID: I20200516000327 |
| Provider Name | Sara K Keller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487046348 PECOS PAC ID: 9537435979 Enrollment ID: I20200827003578 |
| Provider Name | Clint Joseph Oommen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548588775 PECOS PAC ID: 5294027637 Enrollment ID: I20200903000506 |
| Provider Name | Farouk M Belal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629053996 PECOS PAC ID: 6507847241 Enrollment ID: I20201005001104 |
| Provider Name | Erin Barner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467003673 PECOS PAC ID: 8123430014 Enrollment ID: I20201217001961 |
| Provider Name | Vivek Verma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780926022 PECOS PAC ID: 8527308618 Enrollment ID: I20210127003428 |
| Provider Name | Steven L Seese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053846725 PECOS PAC ID: 4082984802 Enrollment ID: I20210302001379 |
| Provider Name | Jessica Dawn Ungerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295352565 PECOS PAC ID: 1456769926 Enrollment ID: I20210422003072 |
| Provider Name | Megan M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508450586 PECOS PAC ID: 0547679151 Enrollment ID: I20210512001324 |
| Provider Name | Rahsaan Friend |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275730657 PECOS PAC ID: 2769623701 Enrollment ID: I20210601002107 |
| Provider Name | Michael Bortz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497166243 PECOS PAC ID: 2769763895 Enrollment ID: I20210623003435 |
| Provider Name | Ahmed Amro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952716789 PECOS PAC ID: 2062631138 Enrollment ID: I20210715002411 |
| Provider Name | Skyler R Demiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366035040 PECOS PAC ID: 8426452525 Enrollment ID: I20210811003804 |
| Provider Name | Suzanne M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083138051 PECOS PAC ID: 4789089137 Enrollment ID: I20210823002163 |
| Provider Name | Jennifer E Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811565286 PECOS PAC ID: 1759786122 Enrollment ID: I20210823003088 |
| Provider Name | Luke E Hochstetler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851977995 PECOS PAC ID: 9638576846 Enrollment ID: I20210929003726 |
| Provider Name | Jenny R Deforeest |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245369784 PECOS PAC ID: 1951464163 Enrollment ID: I20211018001005 |
| Provider Name | Ashley Jenae Mast |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982367223 PECOS PAC ID: 4789073099 Enrollment ID: I20211108001121 |
| Provider Name | Kirstin R Fortune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265099121 PECOS PAC ID: 1850784414 Enrollment ID: I20220203002288 |
| Provider Name | Scott W.N. Mollison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346725157 PECOS PAC ID: 6103179312 Enrollment ID: I20220718003788 |
| Provider Name | Manik Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184183238 PECOS PAC ID: 0648697243 Enrollment ID: I20220818002612 |
| Provider Name | Paige Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003348996 PECOS PAC ID: 0749531945 Enrollment ID: I20220819002343 |
| Provider Name | Joseph Sailors |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861461311 PECOS PAC ID: 5597828848 Enrollment ID: I20220830000517 |
| Provider Name | Allison Hahn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396471728 PECOS PAC ID: 1052787082 Enrollment ID: I20221017002021 |
| Provider Name | Candis B Nolletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962166983 PECOS PAC ID: 7214303023 Enrollment ID: I20221019002498 |
| Provider Name | Kelly Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518672955 PECOS PAC ID: 3577935709 Enrollment ID: I20230215002744 |
| Provider Name | Emily Quay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144945429 PECOS PAC ID: 1658745013 Enrollment ID: I20230327000238 |
| Provider Name | Alexander Mosteller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215564406 PECOS PAC ID: 1355772880 Enrollment ID: I20230620000819 |
| Provider Name | Chirag Berry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164778361 PECOS PAC ID: 5193953214 Enrollment ID: I20230921000983 |
| Provider Name | Maddison Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952009466 PECOS PAC ID: 6002261401 Enrollment ID: I20231004002521 |
| Provider Name | Brenden G Tully |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720765969 PECOS PAC ID: 3971959149 Enrollment ID: I20231024002114 |
| Provider Name | Jennifer a Skruck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205024957 PECOS PAC ID: 6800230020 Enrollment ID: I20240215002965 |
| Provider Name | Caitlyn Fulk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598479495 PECOS PAC ID: 4284178641 Enrollment ID: I20240627000509 |
| Provider Name | Lindsey Atanasov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568176451 PECOS PAC ID: 9436695772 Enrollment ID: I20240723003977 |
| Provider Name | Meron Tecle Berhe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194302075 PECOS PAC ID: 5193126407 Enrollment ID: I20240821004875 |
| Provider Name | Heather Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558106492 PECOS PAC ID: 0749729044 Enrollment ID: I20240910001837 |
| Provider Name | Claire E Mellema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225810070 PECOS PAC ID: 4082155635 Enrollment ID: I20240923001820 |
| Provider Name | Brittney Rae Tyson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114770831 PECOS PAC ID: 8820520737 Enrollment ID: I20241016004862 |
| Provider Name | Holly M Bordner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720824741 PECOS PAC ID: 3173056124 Enrollment ID: I20241029002220 |
| Provider Name | Janie Renee Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801566385 PECOS PAC ID: 4284026832 Enrollment ID: I20250714000232 |
| Provider Name | Yiying Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700364981 PECOS PAC ID: 6901150994 Enrollment ID: I20250729000540 |
| Provider Name | Ahmad Riad Jabri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477077758 PECOS PAC ID: 6103192356 Enrollment ID: I20250813000479 |
| Provider Name | Carrie Licht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558243170 PECOS PAC ID: 5193227023 Enrollment ID: I20250909000358 |
| Provider Name | Kelly Van |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093344889 PECOS PAC ID: 2668899840 Enrollment ID: I20251113000237 |
| Provider Name | David J Wells |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588227011 PECOS PAC ID: 7911230099 Enrollment ID: I20251202002695 |
| Provider Name | Emran El-alali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588008908 PECOS PAC ID: 8921392234 Enrollment ID: I20251209000630 |
| Provider Name | Nicole Seiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376416412 PECOS PAC ID: 5496238933 Enrollment ID: I20260312001128 |
| Provider Name | Ryan Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942335005 PECOS PAC ID: 8820566300 Enrollment ID: I20260504004827 |
Family 1st Healthcare, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3477 Commerce Pkwy, Suite A, Wooster, OH 44691 Phone: 330-345-8410 Fax: 330-345-8458 |
Paul Nielsen LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Milltown Rd, Suite 105, Wooster, OH 44691 Phone: 330-345-8060 Fax: 330-345-5983 |
Wooster Family Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3477 Commerce Pkwy, Suite A, Wooster, OH 44691 Phone: 330-601-0999 |
Wooster Clinic, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1740 Cleveland Rd, Wooster, OH 44691 Phone: 330-287-4500 |
My Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Beall Ave, Wooster, OH 44691 Phone: 330-264-0247 Fax: 330-264-0463 |
Great Health Medical Oh Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1552 N Honeytown Rd, Wooster, OH 44691 Phone: 718-470-0288 |