| Mount Carmel - Osu Physician Alliance Llc | |
|
55 Park Ave London OH 43140-1170 | |
| (740) 845-7500 | |
| (740) 845-7501 |
| Full Name | Mount Carmel - Osu Physician Alliance Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 55 Park Ave, London, Ohio |
| Authorized Official Name and Position | Laura Dornsife (DIRECTOR OF CODING & REVENUE CYCLE) |
| Authorized Official Contact | 6146851511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Carmel - Osu Physician Alliance Llc 700 Ackerman Rd Suite 570 Columbus OH 43202-1559 Ph: (614) 293-2391 | Mount Carmel - Osu Physician Alliance Llc 55 Park Ave London OH 43140-1170 Ph: (740) 845-7500 |
| NPI Number | 1871913731 |
|---|---|
| Provider Enumeration Date | 04/18/2014 |
| Last Update Date | 04/18/2014 |
| Medicare PECOS PAC ID | 2860617891 |
|---|---|
| Medicare Enrollment ID | O20140708001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871913731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mimi A Ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538122809 PECOS PAC ID: 5890755714 Enrollment ID: I20041014001242 |
| Provider Name | James W Kaehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184659708 PECOS PAC ID: 0547296758 Enrollment ID: I20050712000265 |
| Provider Name | Samuel David Weller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750324281 PECOS PAC ID: 8527083682 Enrollment ID: I20051007000900 |
| Provider Name | Ellen C Spinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962628792 PECOS PAC ID: 4789776311 Enrollment ID: I20070827000707 |
| Provider Name | Katherine Elaine Binns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760697676 PECOS PAC ID: 8628143278 Enrollment ID: I20080818000346 |
| Provider Name | Corey M Amann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972763779 PECOS PAC ID: 3274684014 Enrollment ID: I20090707000728 |
| Provider Name | Sarah J Clawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306078142 PECOS PAC ID: 5597940551 Enrollment ID: I20110506000399 |
| Provider Name | Allison L Landoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841656139 PECOS PAC ID: 3375834872 Enrollment ID: I20160613002562 |
| Provider Name | Jennifer E Crutchfield Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811447097 PECOS PAC ID: 8527348309 Enrollment ID: I20161214000033 |
| Provider Name | Sally Passerby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881957652 PECOS PAC ID: 1052544970 Enrollment ID: I20170811000595 |
| Provider Name | Durga Reddy Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336550078 PECOS PAC ID: 4688961303 Enrollment ID: I20170814001913 |
| Provider Name | Heidi Michelle Fauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508386681 PECOS PAC ID: 0749552578 Enrollment ID: I20170814003114 |
| Provider Name | Beth Ann Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811482003 PECOS PAC ID: 6406107747 Enrollment ID: I20180925002967 |
| Provider Name | Andrea Goedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922592914 PECOS PAC ID: 4183977234 Enrollment ID: I20181019000956 |
| Provider Name | Jessica N Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497251896 PECOS PAC ID: 3971849043 Enrollment ID: I20190110000482 |
| Provider Name | Sara E Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992297030 PECOS PAC ID: 6305183393 Enrollment ID: I20190129002900 |
| Provider Name | Alison Julia Ayres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780235887 PECOS PAC ID: 4284060427 Enrollment ID: I20200205003167 |
| Provider Name | Tiffany Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740899459 PECOS PAC ID: 7315366093 Enrollment ID: I20200929003507 |
| Provider Name | Karthik V Nune |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376993626 PECOS PAC ID: 9739411448 Enrollment ID: I20211208000698 |
| Provider Name | Tiffany N. Dupke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598414864 PECOS PAC ID: 4082097597 Enrollment ID: I20220816003454 |
| Provider Name | Julie Anne Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104668102 PECOS PAC ID: 7315470291 Enrollment ID: I20241030003774 |
Madison County Auditor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Lafayette St, Suite B, London, OH 43140 Phone: 740-852-3065 | |
London Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Park Ave, Suite 230, London, OH 43140 Phone: 740-845-7600 Fax: 740-845-7676 | |
Mount Carmel Health Providers Two, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W High St, London, OH 43140 Phone: 614-221-1009 Fax: 614-221-0728 | |
Madison Internal Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Elm St, London, OH 43140 Phone: 740-852-4100 Fax: 740-852-4170 | |
Saleem Khan M D Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Elm St, London, OH 43140 Phone: 740-852-4100 Fax: 740-852-4170 | |
Access Behavioral Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Elm St, London, OH 43140 Phone: 740-845-5500 Fax: 740-845-5502 | |
Covenant Physician Services Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Elm St, London, OH 43140 Phone: 740-852-4100 Fax: 740-852-4170 |