| Breakthrough Medical Plus LLC | |
|
38 E Columbus St Pickerington OH 43147-2316 | |
| (614) 920-9902 | |
| Not Available |
| Full Name | Breakthrough Medical Plus LLC |
|---|---|
| Speciality | General Practice |
| Location | 38 E Columbus St, Pickerington, Ohio |
| Authorized Official Name and Position | Rodney Oberdorf (OWNER) |
| Authorized Official Contact | 6149209902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Medical Plus LLC 38 E Columbus St Pickerington OH 43147-2316 | Breakthrough Medical Plus LLC 38 E Columbus St Pickerington OH 43147-2316 Ph: (614) 920-9902 |
| NPI Number | 1316466899 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 09/15/2017 |
| Medicare PECOS PAC ID | 7012279763 |
|---|---|
| Medicare Enrollment ID | O20180319000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316466899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Brian G Supplee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679572234 PECOS PAC ID: 2567471857 Enrollment ID: I20060414000004 |
| Provider Name | Rodney Paul Oberdorf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598892465 PECOS PAC ID: 1557432341 Enrollment ID: I20080623000295 |
| Provider Name | Morgan E Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952067936 PECOS PAC ID: 3274923974 Enrollment ID: I20211213002171 |
| Provider Name | Zachary Aaron Gorman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316668601 PECOS PAC ID: 2163890112 Enrollment ID: I20221122001934 |
| Provider Name | Sarah Lynn George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073370771 PECOS PAC ID: 0042659674 Enrollment ID: I20240416001996 |
| Provider Name | Marquis Larenz Jackson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760237879 PECOS PAC ID: 3375086358 Enrollment ID: I20240618003706 |
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