| Ovp Health Care, Inc. | |
|
251 W Palmetto St Florence SC 29501-4415 | |
| (304) 429-1088 | |
| (304) 429-3109 |
| Full Name | Ovp Health Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 251 W Palmetto St, Florence, South Carolina |
| Authorized Official Name and Position | Tara Landers (CREDENTIALING) |
| Authorized Official Contact | 3044291088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ovp Health Care, Inc. Po Box 390 Huntington WV 25708-0390 Ph: (304) 429-1088 | Ovp Health Care, Inc. 251 W Palmetto St Florence SC 29501-4415 Ph: (304) 429-1088 |
| NPI Number | 1356954978 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Medicare PECOS PAC ID | 0648694596 |
|---|---|
| Medicare Enrollment ID | O20200916001512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356954978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward W King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083646038 PECOS PAC ID: 9830135144 Enrollment ID: I20071002000069 |
| Provider Name | John Paul Short |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235176520 PECOS PAC ID: 6002891124 Enrollment ID: I20131112001462 |
| Provider Name | Krista Poulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871971648 PECOS PAC ID: 5395059406 Enrollment ID: I20150803002777 |
| Provider Name | Lisa Carol Tabakian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356708069 PECOS PAC ID: 2769776210 Enrollment ID: I20160808000327 |
| Provider Name | David Grant Shy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326146978 PECOS PAC ID: 1254313091 Enrollment ID: I20190226002305 |
| Provider Name | Kayla Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427617125 PECOS PAC ID: 4183950819 Enrollment ID: I20190801001944 |
| Provider Name | Helga Regina Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376183251 PECOS PAC ID: 4789014135 Enrollment ID: I20200427000252 |
| Provider Name | Debra Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275148140 PECOS PAC ID: 0749600245 Enrollment ID: I20201022002098 |
| Provider Name | Stephenie L Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093322703 PECOS PAC ID: 9537576509 Enrollment ID: I20210319000289 |
| Provider Name | Crystal B Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154898179 PECOS PAC ID: 5193123727 Enrollment ID: I20211012000795 |
| Provider Name | Monica Denise Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720742158 PECOS PAC ID: 5294104881 Enrollment ID: I20221202001160 |
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