Countryside Acute Care Llc - Primary Care in South Vienna, OH

Countryside Acute Care Llc is a primary clinic (Nurse Practitioner - Family) in South Vienna, Ohio. The current practice location for Countryside Acute Care Llc is Main St, South Vienna, Ohio. For appointments, you can reach them via phone at (937) 000-0000. The mailing address for Countryside Acute Care Llc is 931 Wilson Rd, South Vienna, Ohio and phone number is () -.

Countryside Acute Care Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1548974009. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (937) 000-0000.

Contact Information

Countryside Acute Care Llc
Main St
South Vienna
OH 45369
(937) 000-0000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCountryside Acute Care Llc
SpecialityNurse Practitioner - Family
LocationMain St, South Vienna, Ohio
Authorized Official Name and PositionDerrick Marple (OWNER)
Authorized Official Contact9376059294
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Countryside Acute Care Llc
931 Wilson Rd
South Vienna
OH 45369-9747

Ph: () -
Countryside Acute Care Llc
Main St
South Vienna
OH 45369

Ph: (937) 000-0000

NPI Details:

NPI Number1548974009
Provider Enumeration Date01/10/2023
Last Update Date05/10/2023

Medical Identifiers

Medical identifiers for Countryside Acute Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548974009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Primary

Reviews and Comments


Nurse Practitioner in South Vienna, OH

Shahida A Khan Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8490 E National Rd, South Vienna, OH 45369
Phone: 937-568-4044    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.