| On-time Medical Group Inc | |
|
9846 Liberty Rd Randallstown MD 21133-2007 | |
| (410) 754-4343 | |
| Not Available |
| Full Name | On-time Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9846 Liberty Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Helen Tanwani (CEO) |
| Authorized Official Contact | 4438513082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On-time Medical Group Inc 9846 Liberty Rd Randallstown MD 21133-2007 Ph: () - | On-time Medical Group Inc 9846 Liberty Rd Randallstown MD 21133-2007 Ph: (410) 754-4343 |
| NPI Number | 1023854155 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Medicare PECOS PAC ID | 7618417627 |
|---|---|
| Medicare Enrollment ID | O20240905000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023854155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Etosha D Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063473551 PECOS PAC ID: 9032173745 Enrollment ID: I20041112000786 |
| Provider Name | Quiebonnie M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124652284 PECOS PAC ID: 5092146720 Enrollment ID: I20200514000039 |
| Provider Name | Nkemtaji Esther Takih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922704014 PECOS PAC ID: 5991142044 Enrollment ID: I20240325002026 |
| Provider Name | Sonia Obehi Okojie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619670106 PECOS PAC ID: 0840733754 Enrollment ID: I20240620001389 |
| Provider Name | Clarise Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376305631 PECOS PAC ID: 7012451156 Enrollment ID: I20240731001510 |
| Provider Name | Anna Bide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073916615 PECOS PAC ID: 0547798142 Enrollment ID: I20250109004054 |
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