| Life's Seasons Palliative Medicine | |
|
1021 Dauch Dr Ashland OH 44805-8845 | |
| (419) 281-7107 | |
| (419) 289-4880 |
| Full Name | Life's Seasons Palliative Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1021 Dauch Dr, Ashland, Ohio |
| Authorized Official Name and Position | Kimberly A Giffin (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4192817107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life's Seasons Palliative Medicine 1021 Dauch Dr Ashland OH 44805-8845 Ph: (419) 281-7107 | Life's Seasons Palliative Medicine 1021 Dauch Dr Ashland OH 44805-8845 Ph: (419) 281-7107 |
| NPI Number | 1295026995 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 5496756074 |
|---|---|
| Medicare Enrollment ID | O20110304000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295026995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.044505 (Ohio) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | NP28271 (Ohio) | Secondary |
| Provider Name | Ajay Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982636700 PECOS PAC ID: 9335113356 Enrollment ID: I20040824001216 |
| Provider Name | Kenelm F Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205922895 PECOS PAC ID: 6608856315 Enrollment ID: I20060105000539 |
| Provider Name | William A Elder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710914833 PECOS PAC ID: 0941333678 Enrollment ID: I20100802000956 |
| Provider Name | Bradley D Bostic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467729202 PECOS PAC ID: 4385807536 Enrollment ID: I20120525000162 |
| Provider Name | Diana Trease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578002481 PECOS PAC ID: 4789951591 Enrollment ID: I20170526002069 |
Ashland Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Claremont Ave, Ashland, OH 44805 Phone: 419-281-5575 Fax: 419-289-1677 | |
James H. Mooney, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1216 Township Road 1506, Ashland, OH 44805 Phone: 419-908-5840 Fax: 419-289-6463 | |
Third Street Community Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Arthur St, Ashland, OH 44805 Phone: 567-217-7778 Fax: 419-525-6723 | |
Medical Consultants Of Ashland, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Hillcrest Drive, Ashland, OH 44805 Phone: 419-289-9068 Fax: 419-289-9443 | |
Samaritan Rhc 2111 Claremont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Claremont Ave, Ashland, OH 44805 Phone: 419-281-5575 | |
Ashland County General Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1763 State Route 60, Ashland, OH 44805 Phone: 419-282-4357 Fax: 419-282-4271 |