| David And John Delliqoadri, D.o. Inc | |
|
116 E Liberty St Girard OH 44420-2648 | |
| (330) 545-8643 | |
| (330) 545-6557 |
| Full Name | David And John Delliqoadri, D.o. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 116 E Liberty St, Girard, Ohio |
| Authorized Official Name and Position | John P Delliquadri (PRESIDENT) |
| Authorized Official Contact | 3305458643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David And John Delliqoadri, D.o. Inc 116 E Liberty St Girard OH 44420-2648 Ph: (330) 545-8643 | David And John Delliqoadri, D.o. Inc 116 E Liberty St Girard OH 44420-2648 Ph: (330) 545-8643 |
| NPI Number | 1912104548 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 1254424641 |
|---|---|
| Medicare Enrollment ID | O20070830000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912104548 | NPI | - | NPPES |
| 0925299 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34002890 (Ohio) | Primary |
| Provider Name | John P Delliquadri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619938669 PECOS PAC ID: 1951494343 Enrollment ID: I20070830000380 |
| Provider Name | David A. Delliquadri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497154983 PECOS PAC ID: 6305136243 Enrollment ID: I20170821000450 |
| Provider Name | Jessica Lynn Kellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437439734 PECOS PAC ID: 0840540761 Enrollment ID: I20180913001711 |
David Angelo Delliquadri Do, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 E Liberty St, Girard, OH 44420 Phone: 330-545-8643 Fax: 330-545-6557 | |
James J Enyeart Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E Liberty St, Girard, OH 44420 Phone: 330-545-8814 Fax: 330-545-5008 | |
Vocational Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 Tibbetts Wick Rd, Girard, OH 44420 Phone: 330-505-9776 Fax: 330-505-9770 |