| Gem City Primary Care Llc | |
|
118 W 1st St Ste 800 Dayton OH 45402-1150 | |
| (937) 345-1436 | |
| Not Available |
| Full Name | Gem City Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 118 W 1st St Ste 800, Dayton, Ohio |
| Authorized Official Name and Position | Matthew Ryan Noordsij-jones (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9373218698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gem City Primary Care Llc 118 W 1st St Ste 800 Dayton OH 45402-1150 Ph: (937) 345-1436 | Gem City Primary Care Llc 118 W 1st St Ste 800 Dayton OH 45402-1150 Ph: (937) 345-1436 |
| NPI Number | 1295410165 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 0446610943 |
|---|---|
| Medicare Enrollment ID | O20230715000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295410165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Katherine A Lambes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902928443 PECOS PAC ID: 6608950845 Enrollment ID: I20080226000601 |
| Provider Name | Matthew R Noordsij-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891911640 PECOS PAC ID: 4688799943 Enrollment ID: I20100910000380 |
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