| Conciergemd Llc | |
|
5051 Forest Dr New Albany OH 43054 | |
| (614) 800-0034 | |
| (614) 412-3266 |
| Full Name | Conciergemd Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5051 Forest Dr, New Albany, Ohio |
| Authorized Official Name and Position | Amish Oza (OWNER) |
| Authorized Official Contact | 6142889975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conciergemd Llc 5051 Forest Dr New Albany OH 43054 Ph: (614) 800-0034 | Conciergemd Llc 5051 Forest Dr New Albany OH 43054 Ph: (614) 800-0034 |
| NPI Number | 1649956590 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 1759731128 |
|---|---|
| Medicare Enrollment ID | O20231227001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649956590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amish S Oza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396953956 PECOS PAC ID: 0345383485 Enrollment ID: I20100211000342 |
| Provider Name | Jimisha Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235450883 PECOS PAC ID: 8426276197 Enrollment ID: I20140822000475 |
| Provider Name | Chad D Wittekind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538727060 PECOS PAC ID: 3375871866 Enrollment ID: I20190821003771 |
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