| Midwest Internal Medicine Associates Llc | |
|
1728 Marion Waldo Rd Marion OH 43302-7457 | |
| (740) 389-2297 | |
| (740) 389-2427 |
| Full Name | Midwest Internal Medicine Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1728 Marion Waldo Rd, Marion, Ohio |
| Authorized Official Name and Position | Kelly S Ratliff (BILLING CORDINATOR) |
| Authorized Official Contact | 7406168052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Internal Medicine Associates Llc 1728 Marion Waldo Rd Marion OH 43302-7457 Ph: (740) 389-2297 | Midwest Internal Medicine Associates Llc 1728 Marion Waldo Rd Marion OH 43302-7457 Ph: (740) 389-2297 |
| NPI Number | 1003001538 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 4587697974 |
|---|---|
| Medicare Enrollment ID | O20050915000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001538 | NPI | - | NPPES |
| 2156143 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35056082 (Ohio) | Primary |
| Provider Name | Chander Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316929094 PECOS PAC ID: 4385695121 Enrollment ID: I20050209000482 |
| Provider Name | Amish S Oza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396953956 PECOS PAC ID: 0345383485 Enrollment ID: I20100211000342 |
| Provider Name | Raju Fatehchand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346201407 PECOS PAC ID: 6406839885 Enrollment ID: I20100629000419 |
| Provider Name | Roxanne M Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396166989 PECOS PAC ID: 3072745678 Enrollment ID: I20151222000997 |
| Provider Name | Christina Padrutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285183871 PECOS PAC ID: 8426334509 Enrollment ID: I20170405000322 |
| Provider Name | Chad D Wittekind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538727060 PECOS PAC ID: 3375871866 Enrollment ID: I20190821003771 |
| Provider Name | Diana Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619529922 PECOS PAC ID: 5991138232 Enrollment ID: I20191127001713 |
| Provider Name | Jason A Lauf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043896830 PECOS PAC ID: 5698122570 Enrollment ID: I20231115000294 |
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