| Careconnectmd Ohio, Llc | |
|
20 S 3rd St Ste 210 Columbus OH 43215-4206 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd Ohio, Llc |
|---|---|
| Speciality | General Practice |
| Location | 20 S 3rd St Ste 210, Columbus, Ohio |
| Authorized Official Name and Position | Kim Phan (CEO) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Ohio, Llc 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (888) 789-9585 | Careconnectmd Ohio, Llc 20 S 3rd St Ste 210 Columbus OH 43215-4206 Ph: (888) 789-9585 |
| NPI Number | 1255971537 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 2567885577 |
|---|---|
| Medicare Enrollment ID | O20200709002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255971537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kelly A Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922084425 PECOS PAC ID: 3476591355 Enrollment ID: I20050421000254 |
| Provider Name | Jonathan Hollister |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487621652 PECOS PAC ID: 4880627256 Enrollment ID: I20050915000778 |
| Provider Name | Melanie Caroline Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922148147 PECOS PAC ID: 7113935842 Enrollment ID: I20060322000433 |
| Provider Name | Steven Bills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740289602 PECOS PAC ID: 5395754824 Enrollment ID: I20060412000001 |
| Provider Name | John M Weigand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780624965 PECOS PAC ID: 9234149758 Enrollment ID: I20060428000061 |
| Provider Name | Stuart Kanter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730122193 PECOS PAC ID: 1052324449 Enrollment ID: I20060802000127 |
| Provider Name | Katherine L Montanaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083763627 PECOS PAC ID: 2466453725 Enrollment ID: I20070130000002 |
| Provider Name | Douglas C Caserta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851599070 PECOS PAC ID: 8224928122 Enrollment ID: I20080819000046 |
| Provider Name | Peter D Hucek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548274871 PECOS PAC ID: 2961559372 Enrollment ID: I20090421000629 |
| Provider Name | Angela Marie Hoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538391388 PECOS PAC ID: 0749320471 Enrollment ID: I20091210000485 |
| Provider Name | Stephanie A.f. Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154655314 PECOS PAC ID: 1557498995 Enrollment ID: I20100416000329 |
| Provider Name | Amy J Klinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205142270 PECOS PAC ID: 2264558196 Enrollment ID: I20100928000849 |
| Provider Name | Amanda R Esch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215248133 PECOS PAC ID: 0648445908 Enrollment ID: I20111214000964 |
| Provider Name | Michelle F Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700223740 PECOS PAC ID: 2769624659 Enrollment ID: I20130805000962 |
| Provider Name | Sarah B Hartfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487094496 PECOS PAC ID: 5193959492 Enrollment ID: I20130927000352 |
| Provider Name | Lindsey N Yokum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437583069 PECOS PAC ID: 1850526963 Enrollment ID: I20131025001628 |
| Provider Name | Valarie R Langel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760896070 PECOS PAC ID: 7719103555 Enrollment ID: I20140730002763 |
| Provider Name | Misti Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831036 PECOS PAC ID: 1658591243 Enrollment ID: I20141002000790 |
| Provider Name | Sarah E Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720483324 PECOS PAC ID: 5193047124 Enrollment ID: I20141202002583 |
| Provider Name | Caryn Elizabeth Gorby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144626433 PECOS PAC ID: 7719201102 Enrollment ID: I20150112002252 |
| Provider Name | Diana Lyn Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002380 PECOS PAC ID: 5698091437 Enrollment ID: I20150313000680 |
| Provider Name | Bethany M Cottrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518364389 PECOS PAC ID: 5799002614 Enrollment ID: I20150402000215 |
| Provider Name | Tara Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124405915 PECOS PAC ID: 8022322510 Enrollment ID: I20150728004854 |
| Provider Name | Karen M Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013367945 PECOS PAC ID: 3072801604 Enrollment ID: I20161013000928 |
| Provider Name | Angela M Palitto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902160278 PECOS PAC ID: 2860615945 Enrollment ID: I20170117001184 |
| Provider Name | Kathryn Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922506211 PECOS PAC ID: 8325309032 Enrollment ID: I20180220002784 |
| Provider Name | Amanda J Sealock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972024545 PECOS PAC ID: 7911257571 Enrollment ID: I20180904000627 |
| Provider Name | Anthony Michael Durning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922577402 PECOS PAC ID: 1759629389 Enrollment ID: I20190206002284 |
| Provider Name | Carol Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952874943 PECOS PAC ID: 3072856178 Enrollment ID: I20190513000863 |
| Provider Name | Brian Keith Weikert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801448188 PECOS PAC ID: 9436486685 Enrollment ID: I20190809001748 |
| Provider Name | Chad D Wittekind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538727060 PECOS PAC ID: 3375871866 Enrollment ID: I20190821003771 |
| Provider Name | Cassaundra Grace Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427601442 PECOS PAC ID: 5496083651 Enrollment ID: I20190826002765 |
| Provider Name | Cierra Christine Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265078307 PECOS PAC ID: 2769811447 Enrollment ID: I20200331003330 |
| Provider Name | Summer M Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659991693 PECOS PAC ID: 5496185969 Enrollment ID: I20200423003108 |
| Provider Name | Carla Suzanne Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619581162 PECOS PAC ID: 4385062397 Enrollment ID: I20200908001941 |
| Provider Name | Christine Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659984961 PECOS PAC ID: 4284052796 Enrollment ID: I20200916000126 |
| Provider Name | Rachel C Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629679626 PECOS PAC ID: 6305250226 Enrollment ID: I20210203002801 |
| Provider Name | Lisa Ann Popovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891394235 PECOS PAC ID: 6305252057 Enrollment ID: I20210304001557 |
| Provider Name | Tiffany Seneff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346829959 PECOS PAC ID: 4981012960 Enrollment ID: I20210412000629 |
| Provider Name | Megan Elizabeth Langel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386225357 PECOS PAC ID: 7012312689 Enrollment ID: I20210819001458 |
| Provider Name | Jeffrey S Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548855901 PECOS PAC ID: 0840696969 Enrollment ID: I20210914003802 |
| Provider Name | Nicholas Maximillian Kielhorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821240128 PECOS PAC ID: 0244425403 Enrollment ID: I20220604000362 |
| Provider Name | Emily C Schmitter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942930839 PECOS PAC ID: 3870975733 Enrollment ID: I20220809002638 |
| Provider Name | Amber R Eiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922737915 PECOS PAC ID: 0244609840 Enrollment ID: I20221202001459 |
| Provider Name | Autumn Hylton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871278580 PECOS PAC ID: 7214390830 Enrollment ID: I20230830002027 |
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