| On Demand Primary Care | |
|
5760 Patriot Drive Suite B Austintown OH 44515-1170 | |
| (330) 270-3660 | |
| Not Available |
| Full Name | On Demand Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 5760 Patriot Drive, Austintown, Ohio |
| Authorized Official Name and Position | Thomas R. Ivany (OWNER) |
| Authorized Official Contact | 3302703660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Demand Primary Care 5760 Patriot Drive Suite D Austintown OH 44515-1170 Ph: (330) 270-3660 | On Demand Primary Care 5760 Patriot Drive Suite B Austintown OH 44515-1170 Ph: (330) 270-3660 |
| NPI Number | 1629468061 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/26/2021 |
| Medicare PECOS PAC ID | 7315289121 |
|---|---|
| Medicare Enrollment ID | O20190426001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629468061 | NPI | - | NPPES |
| 0205041 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Anthony R Cesario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992938641 PECOS PAC ID: 4981741162 Enrollment ID: I20091020000537 |
| Provider Name | Sara D Pease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972792059 PECOS PAC ID: 6406043389 Enrollment ID: I20101203000784 |
| Provider Name | Natalie Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437551918 PECOS PAC ID: 9931423316 Enrollment ID: I20150112002062 |
| Provider Name | Donald W Ferree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326419730 PECOS PAC ID: 7315257870 Enrollment ID: I20151112002129 |
| Provider Name | Patrick Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741577 PECOS PAC ID: 0749585073 Enrollment ID: I20160823001189 |
| Provider Name | Alicia A Warrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801306345 PECOS PAC ID: 4183982721 Enrollment ID: I20180103000852 |
| Provider Name | Shiloh Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720560634 PECOS PAC ID: 0345592341 Enrollment ID: I20181002001973 |
| Provider Name | Joshua Steven Mcgaffic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053877951 PECOS PAC ID: 3870833452 Enrollment ID: I20190318001878 |
| Provider Name | Douglas Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013474824 PECOS PAC ID: 8325022957 Enrollment ID: I20190425001317 |
| Provider Name | Marissa Hoppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881106672 PECOS PAC ID: 0244567071 Enrollment ID: I20190815003617 |
| Provider Name | Stacia E Winland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407497357 PECOS PAC ID: 7214363654 Enrollment ID: I20200204000960 |
| Provider Name | Kristina Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992319594 PECOS PAC ID: 3476965849 Enrollment ID: I20201209002778 |
| Provider Name | Jamie Lynn Elenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316583792 PECOS PAC ID: 0840667309 Enrollment ID: I20221114000737 |
| Provider Name | Alex Payne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164879094 PECOS PAC ID: 8527460799 Enrollment ID: I20230316002784 |
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