| Concertohealth Of Ohio Llc | |
|
5553 Southwyck Boulevard Suite 101 Toledo OH 43614 | |
| (877) 597-1440 | |
| Not Available |
| Full Name | Concertohealth Of Ohio Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5553 Southwyck Boulevard, Toledo, Ohio |
| Authorized Official Name and Position | Jeffrey Hunter (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8775971440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concertohealth Of Ohio Llc 85 Enterprise Suite 200 Aliso Viejo CA 92656-2614 Ph: (877) 597-1440 | Concertohealth Of Ohio Llc 5553 Southwyck Boulevard Suite 101 Toledo OH 43614 Ph: (877) 597-1440 |
| NPI Number | 1386290302 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 08/15/2019 |
| Medicare PECOS PAC ID | 3274865902 |
|---|---|
| Medicare Enrollment ID | O20191030002546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386290302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cheryl Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801046065 PECOS PAC ID: 3870650096 Enrollment ID: I20090316000114 |
| Provider Name | Jennifer G Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609016617 PECOS PAC ID: 8123175684 Enrollment ID: I20090421000003 |
| Provider Name | Tiffany L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518240571 PECOS PAC ID: 2062689045 Enrollment ID: I20120113000484 |
| Provider Name | Timothy S Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139895 PECOS PAC ID: 8628203395 Enrollment ID: I20131105001206 |
| Provider Name | Jameelah Ragland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598280596 PECOS PAC ID: 0042565327 Enrollment ID: I20180611002066 |
| Provider Name | Amyee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215406418 PECOS PAC ID: 2860731023 Enrollment ID: I20190305003099 |
| Provider Name | Nicole K Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660461 PECOS PAC ID: 1153653373 Enrollment ID: I20191021002569 |
| Provider Name | Angelic Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588294243 PECOS PAC ID: 2163844085 Enrollment ID: I20200623002607 |
| Provider Name | Danielle M Beebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366042962 PECOS PAC ID: 4486065000 Enrollment ID: I20201202002204 |
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