| Ch Specialty Services Oh Llc | |
|
3239 Jefferson Ave Ste 1 Cincinnati OH 45220-2270 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Ch Specialty Services Oh Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3239 Jefferson Ave Ste 1, Cincinnati, Ohio |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Specialty Services Oh Llc 1509 Dulles Dr Lafayette LA 70506-3718 Ph: (337) 991-9276 | Ch Specialty Services Oh Llc 3239 Jefferson Ave Ste 1 Cincinnati OH 45220-2270 Ph: (337) 991-9276 |
| NPI Number | 1326747734 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 5799140984 |
|---|---|
| Medicare Enrollment ID | O20230421001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326747734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Salman Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902834492 PECOS PAC ID: 1557346871 Enrollment ID: I20040621001996 |
| Provider Name | Naghmana Masood |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1912950361 PECOS PAC ID: 6204803687 Enrollment ID: I20040917001183 |
| Provider Name | Bruce A Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689657934 PECOS PAC ID: 9537102181 Enrollment ID: I20050606000567 |
| Provider Name | Charles L Valone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538165337 PECOS PAC ID: 5698774461 Enrollment ID: I20061206000105 |
| Provider Name | John Both |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760489322 PECOS PAC ID: 6507937703 Enrollment ID: I20080616000562 |
| Provider Name | Nizar Z Nader |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679542567 PECOS PAC ID: 5991713455 Enrollment ID: I20090730000055 |
| Provider Name | Robert R Daiber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922147818 PECOS PAC ID: 2062567878 Enrollment ID: I20100120000195 |
| Provider Name | Deborah F Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386959195 PECOS PAC ID: 1153515473 Enrollment ID: I20101101000817 |
| Provider Name | Amy Marie Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497056642 PECOS PAC ID: 0941497424 Enrollment ID: I20101209000697 |
| Provider Name | Susan D Banning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407126980 PECOS PAC ID: 7012177389 Enrollment ID: I20120323000042 |
| Provider Name | Nicole C Ramacciato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649512005 PECOS PAC ID: 7810133972 Enrollment ID: I20130415000444 |
| Provider Name | Cyndel Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679987895 PECOS PAC ID: 7911122742 Enrollment ID: I20140710001041 |
| Provider Name | Caitlin M Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730595125 PECOS PAC ID: 9638396567 Enrollment ID: I20140815001808 |
| Provider Name | April L. Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184020836 PECOS PAC ID: 2163744921 Enrollment ID: I20141204002418 |
| Provider Name | Faiza Fakhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124441449 PECOS PAC ID: 8022331842 Enrollment ID: I20150102000530 |
| Provider Name | Babar Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593806 PECOS PAC ID: 8820004104 Enrollment ID: I20150408002044 |
| Provider Name | Kara Alison Patchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811385537 PECOS PAC ID: 5294034559 Enrollment ID: I20161011002836 |
| Provider Name | Krystal J Jones-shephard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447747589 PECOS PAC ID: 3274881867 Enrollment ID: I20180730000912 |
| Provider Name | Abraham Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Lisa C Scudder-marker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164450474 PECOS PAC ID: 5193753671 Enrollment ID: I20191024002607 |
| Provider Name | Jordan Lenae Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609420017 PECOS PAC ID: 6709118474 Enrollment ID: I20191029003695 |
| Provider Name | Carrie Sue Mersereau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968483 PECOS PAC ID: 1456784925 Enrollment ID: I20191214000512 |
| Provider Name | Jessica Marie Rouzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689292344 PECOS PAC ID: 3870917677 Enrollment ID: I20200727002927 |
| Provider Name | Shenika Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003414111 PECOS PAC ID: 0244644490 Enrollment ID: I20210128002432 |
| Provider Name | Kristyn N Reser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942810338 PECOS PAC ID: 9931508652 Enrollment ID: I20210601001225 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20210608003188 |
| Provider Name | Taylor Lynn Gephart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906460 PECOS PAC ID: 1052719291 Enrollment ID: I20211001002303 |
| Provider Name | Brandey Reana Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326761941 PECOS PAC ID: 7810363736 Enrollment ID: I20221018002700 |
| Provider Name | Teal Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588374714 PECOS PAC ID: 0345619128 Enrollment ID: I20221219000687 |
| Provider Name | Paulette Hennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992402820 PECOS PAC ID: 3173996386 Enrollment ID: I20230308001135 |
| Provider Name | Chante Campbell-nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868738 PECOS PAC ID: 7416361126 Enrollment ID: I20230607001952 |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20230613002289 |
| Provider Name | Juliette Faye Reising |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396045936 PECOS PAC ID: 6709244353 Enrollment ID: I20230614002159 |
| Provider Name | Antonio Gamboa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356780 PECOS PAC ID: 2264468222 Enrollment ID: I20230623001929 |
| Provider Name | Gina Desanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871656298 PECOS PAC ID: 1052370616 Enrollment ID: I20230901000390 |
| Provider Name | Brian Whyms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821440066 PECOS PAC ID: 2365736378 Enrollment ID: I20230907004126 |
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