| Promedica Multi Specialty Physicians | |
|
100 Madison Ave Msc-s38805 Toledo OH 43604-1531 | |
| (567) 585-1964 | |
| (419) 824-7359 |
| Full Name | Promedica Multi Specialty Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Madison Ave, Toledo, Ohio |
| Authorized Official Name and Position | Lorraine Mccune (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5675851964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedica Multi Specialty Physicians 100 Madison Ave Msc-s38805 Toledo OH 43604-1531 Ph: (567) 585-1964 | Promedica Multi Specialty Physicians 100 Madison Ave Msc-s38805 Toledo OH 43604-1531 Ph: (567) 585-1964 |
| NPI Number | 1306105150 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 7113182809 |
|---|---|
| Medicare Enrollment ID | O20120702000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306105150 | NPI | - | NPPES |
| 0065185 | Medicaid | OH |
| Provider Name | Mary Patricia Pellioni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033146030 PECOS PAC ID: 2365347226 Enrollment ID: I20031203000739 |
| Provider Name | Jeffrey Muler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285631739 PECOS PAC ID: 4789585886 Enrollment ID: I20040120000588 |
| Provider Name | Jean Naida Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699750364 PECOS PAC ID: 6406841147 Enrollment ID: I20040420000848 |
| Provider Name | Amer Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710970652 PECOS PAC ID: 5698759215 Enrollment ID: I20040614000306 |
| Provider Name | Samer Obri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700879657 PECOS PAC ID: 0042294688 Enrollment ID: I20040614000501 |
| Provider Name | Lalaine E Mattison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366440224 PECOS PAC ID: 0648251736 Enrollment ID: I20040910000103 |
| Provider Name | Melchor Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750374104 PECOS PAC ID: 4486604329 Enrollment ID: I20050127000800 |
| Provider Name | Laura Elizabeth Leroux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629070479 PECOS PAC ID: 2567407901 Enrollment ID: I20050627000005 |
| Provider Name | Michael W Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20050825000469 |
| Provider Name | Aparna Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174570337 PECOS PAC ID: 9931112331 Enrollment ID: I20060802000274 |
| Provider Name | Steven J Rubin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972509719 PECOS PAC ID: 4385688290 Enrollment ID: I20061213000325 |
| Provider Name | David Charles Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851424535 PECOS PAC ID: 7416051719 Enrollment ID: I20070327000009 |
| Provider Name | Roger T Kucway |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417049818 PECOS PAC ID: 9436155306 Enrollment ID: I20070730000004 |
| Provider Name | Venugopala R Bommana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275749558 PECOS PAC ID: 6002900990 Enrollment ID: I20070924000045 |
| Provider Name | Bhaskar Gundabolu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346458767 PECOS PAC ID: 8921195496 Enrollment ID: I20071031000003 |
| Provider Name | Kimberly A Bruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609053602 PECOS PAC ID: 9032292479 Enrollment ID: I20080220000382 |
| Provider Name | Ryan Jin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568671113 PECOS PAC ID: 6002989282 Enrollment ID: I20080722000011 |
| Provider Name | Michael J Disher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205828985 PECOS PAC ID: 0749344026 Enrollment ID: I20090202000023 |
| Provider Name | Lauren J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598900516 PECOS PAC ID: 2062561921 Enrollment ID: I20090522000497 |
| Provider Name | Jeffrey A Forquer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003073438 PECOS PAC ID: 6709939366 Enrollment ID: I20090824000706 |
| Provider Name | Albert Q Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245353267 PECOS PAC ID: 0143366765 Enrollment ID: I20091012000285 |
| Provider Name | Sandeep S Kukreja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366616765 PECOS PAC ID: 2365589496 Enrollment ID: I20091022000398 |
| Provider Name | Brian K Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811978810 PECOS PAC ID: 8527041854 Enrollment ID: I20091022000457 |
| Provider Name | Karol Ann Zsarnay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154654879 PECOS PAC ID: 8325185291 Enrollment ID: I20091026000385 |
| Provider Name | Mahmood Darr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780681197 PECOS PAC ID: 5991847097 Enrollment ID: I20100128000238 |
| Provider Name | Wendy G Nelson-brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386640191 PECOS PAC ID: 0749323608 Enrollment ID: I20100201000812 |
| Provider Name | Bhavani Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689670531 PECOS PAC ID: 6406981596 Enrollment ID: I20100315000501 |
| Provider Name | Dee Ann Bialecki-haase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144222886 PECOS PAC ID: 3577693431 Enrollment ID: I20100621000022 |
| Provider Name | Ahmed Janjua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912162728 PECOS PAC ID: 8123159126 Enrollment ID: I20100707000435 |
| Provider Name | Tiffany Anne Lisk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740445105 PECOS PAC ID: 7012040124 Enrollment ID: I20100726000915 |
| Provider Name | Guillermo Manuel Guardia Gonzales |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902866387 PECOS PAC ID: 8729097332 Enrollment ID: I20101015000867 |
| Provider Name | Kara Hertzfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174742472 PECOS PAC ID: 5698968592 Enrollment ID: I20101025000118 |
| Provider Name | Eric P Kielhorn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669631230 PECOS PAC ID: 2466621032 Enrollment ID: I20110816000742 |
| Provider Name | Kadra Ganim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497999510 PECOS PAC ID: 0446423230 Enrollment ID: I20111021000270 |
| Provider Name | Divya Pradeep Ramaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932350030 PECOS PAC ID: 2264605310 Enrollment ID: I20111104000485 |
| Provider Name | Bonnie J Brahaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396005559 PECOS PAC ID: 3678739455 Enrollment ID: I20120723000882 |
| Provider Name | Kanchan Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568692655 PECOS PAC ID: 3678729357 Enrollment ID: I20120813000221 |
| Provider Name | Clarivel Tull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932455177 PECOS PAC ID: 9335397009 Enrollment ID: I20120921000455 |
| Provider Name | Abul Faiz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275768715 PECOS PAC ID: 0345395208 Enrollment ID: I20130128000566 |
| Provider Name | Maida A Sehgal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255560082 PECOS PAC ID: 3173777836 Enrollment ID: I20130204000532 |
| Provider Name | Ramzyeh A Kaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20130802000823 |
| Provider Name | Steven R Zook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770800070 PECOS PAC ID: 0648412296 Enrollment ID: I20130809000486 |
| Provider Name | Vaughn A Hoblet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205277464 PECOS PAC ID: 1456593730 Enrollment ID: I20130815000879 |
| Provider Name | Stephanie Cole |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861444085 PECOS PAC ID: 4880837954 Enrollment ID: I20130821000861 |
| Provider Name | Chang Xia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114187549 PECOS PAC ID: 9133369689 Enrollment ID: I20140606001046 |
| Provider Name | Naeem M Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982383 PECOS PAC ID: 3173766227 Enrollment ID: I20141105001531 |
| Provider Name | Amjad Shidyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902061054 PECOS PAC ID: 7618153867 Enrollment ID: I20141112002354 |
| Provider Name | Kathryn Lynn Cray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629387592 PECOS PAC ID: 4880818509 Enrollment ID: I20141218002329 |
| Provider Name | Shubhita Bhatnagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467771329 PECOS PAC ID: 4284820879 Enrollment ID: I20141231001601 |
| Provider Name | Abdulmalek M Sadah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942410667 PECOS PAC ID: 4587824719 Enrollment ID: I20150728005847 |
| Provider Name | Cathy Rubel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568845782 PECOS PAC ID: 2466768528 Enrollment ID: I20150903001659 |
| Provider Name | Joshua M Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669854790 PECOS PAC ID: 8820306863 Enrollment ID: I20150924002310 |
| Provider Name | Lucila Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194949396 PECOS PAC ID: 5991006181 Enrollment ID: I20151211001683 |
| Provider Name | Tonisha Monique Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053778332 PECOS PAC ID: 8224334826 Enrollment ID: I20160308001735 |
| Provider Name | Sara Barnett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578879565 PECOS PAC ID: 1951691054 Enrollment ID: I20160601002824 |
| Provider Name | Evan Abalos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194163089 PECOS PAC ID: 3971893025 Enrollment ID: I20160602001291 |
| Provider Name | Tejaswini Jagadish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720423627 PECOS PAC ID: 7911290200 Enrollment ID: I20160725001077 |
| Provider Name | Martha G Shipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366894677 PECOS PAC ID: 4789978826 Enrollment ID: I20160811001839 |
| Provider Name | Sneha Latha Kommoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518198308 PECOS PAC ID: 7214218619 Enrollment ID: I20161222001644 |
| Provider Name | Leslie Houk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205285905 PECOS PAC ID: 9537442413 Enrollment ID: I20170220002665 |
| Provider Name | Regis C Whiteside |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992141741 PECOS PAC ID: 4981908209 Enrollment ID: I20170317001946 |
| Provider Name | Abhijit B Saste |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639361850 PECOS PAC ID: 4486849197 Enrollment ID: I20170607003239 |
| Provider Name | Ali Raufi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801088687 PECOS PAC ID: 1153519079 Enrollment ID: I20170811003097 |
| Provider Name | Feng Jiang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457640807 PECOS PAC ID: 7719137231 Enrollment ID: I20170815004215 |
| Provider Name | Kimberly Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699129148 PECOS PAC ID: 8325337314 Enrollment ID: I20170905002643 |
| Provider Name | Susan Namo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502227 PECOS PAC ID: 9931425592 Enrollment ID: I20170907001695 |
| Provider Name | Dustin Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598029860 PECOS PAC ID: 7416263561 Enrollment ID: I20171004003110 |
| Provider Name | Rachel Ragle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932607959 PECOS PAC ID: 5496015430 Enrollment ID: I20180212002061 |
| Provider Name | Janette Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467962837 PECOS PAC ID: 8921369679 Enrollment ID: I20180221001267 |
| Provider Name | Ahmed G. Elsayed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528221827 PECOS PAC ID: 2163697632 Enrollment ID: I20180712003500 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20180821002425 |
| Provider Name | Ehden Amira Iachini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669968863 PECOS PAC ID: 7214287614 Enrollment ID: I20180905003465 |
| Provider Name | Rachel Denae York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194203539 PECOS PAC ID: 7618228859 Enrollment ID: I20180926003165 |
| Provider Name | Tamara Lynn Junge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285115147 PECOS PAC ID: 9032461918 Enrollment ID: I20181003002045 |
| Provider Name | Hani M Saad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457331969 PECOS PAC ID: 0244264596 Enrollment ID: I20181008000856 |
| Provider Name | Alison Ellithorpe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063908937 PECOS PAC ID: 2769736560 Enrollment ID: I20181114001478 |
| Provider Name | Rachel Ann Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043442064 PECOS PAC ID: 3971840059 Enrollment ID: I20190128002021 |
| Provider Name | Amanda Nuckols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360086 PECOS PAC ID: 4486994894 Enrollment ID: I20190321002405 |
| Provider Name | Jagruti Nimit Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083060263 PECOS PAC ID: 9638402704 Enrollment ID: I20190604002083 |
| Provider Name | Ali Sahlieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710362603 PECOS PAC ID: 2264734409 Enrollment ID: I20190619002168 |
| Provider Name | Kara Lynn Guinta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104487594 PECOS PAC ID: 3072841824 Enrollment ID: I20190819001310 |
| Provider Name | Hibah Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659725877 PECOS PAC ID: 6305139684 Enrollment ID: I20190823003529 |
| Provider Name | Karen Elizabeth Hutchinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164536520 PECOS PAC ID: 6406907823 Enrollment ID: I20190927003058 |
| Provider Name | Pooja Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215578877 PECOS PAC ID: 7012349038 Enrollment ID: I20191113001742 |
| Provider Name | Melissa Kay Lagrange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403304 PECOS PAC ID: 8729417027 Enrollment ID: I20200408001804 |
| Provider Name | David M Macari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992116123 PECOS PAC ID: 6901106848 Enrollment ID: I20200511000338 |
| Provider Name | Stephanie A Gwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225651029 PECOS PAC ID: 0648693556 Enrollment ID: I20200710002451 |
| Provider Name | Kori M Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528678190 PECOS PAC ID: 8628496445 Enrollment ID: I20200910002612 |
| Provider Name | Monica L Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203162 PECOS PAC ID: 1658781570 Enrollment ID: I20201105002586 |
| Provider Name | Jennifer Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134721483 PECOS PAC ID: 2769894203 Enrollment ID: I20201207002797 |
| Provider Name | Qunfang Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013395425 PECOS PAC ID: 8022320639 Enrollment ID: I20210602002547 |
| Provider Name | Saad S Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255836698 PECOS PAC ID: 6507113529 Enrollment ID: I20210721003482 |
| Provider Name | Charity A Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649841347 PECOS PAC ID: 6305240524 Enrollment ID: I20210811000276 |
| Provider Name | Ryan M Slusky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982199188 PECOS PAC ID: 1850620402 Enrollment ID: I20210818003522 |
| Provider Name | Evan Thomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447618350 PECOS PAC ID: 9638449234 Enrollment ID: I20210820001223 |
| Provider Name | Jewel Lia Dawn Bocian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467024778 PECOS PAC ID: 2163820630 Enrollment ID: I20211013003415 |
| Provider Name | Abed Ramadan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801467907 PECOS PAC ID: 7315336831 Enrollment ID: I20211122002089 |
| Provider Name | Rani Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205104247 PECOS PAC ID: 3375763568 Enrollment ID: I20220211001703 |
| Provider Name | Andre Noumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710369210 PECOS PAC ID: 2365751369 Enrollment ID: I20220405001638 |
| Provider Name | Angela Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528715018 PECOS PAC ID: 6204222409 Enrollment ID: I20220414001313 |
| Provider Name | Cynthia D Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396487385 PECOS PAC ID: 4880071133 Enrollment ID: I20220506002015 |
| Provider Name | Abbi Riechman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508471319 PECOS PAC ID: 2062899289 Enrollment ID: I20220509002547 |
| Provider Name | Ravi P Pothireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578755476 PECOS PAC ID: 7416046826 Enrollment ID: I20220608000891 |
| Provider Name | Rahaf Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740843226 PECOS PAC ID: 2567796956 Enrollment ID: I20220727003153 |
| Provider Name | Mahammad Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407412083 PECOS PAC ID: 7012246911 Enrollment ID: I20221003002404 |
| Provider Name | Avijit Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811550452 PECOS PAC ID: 1759624190 Enrollment ID: I20221101002136 |
| Provider Name | Shelby A Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316675572 PECOS PAC ID: 6103294228 Enrollment ID: I20221122000511 |
| Provider Name | Courtney Nicole Puri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174233241 PECOS PAC ID: 7012388275 Enrollment ID: I20230125003303 |
| Provider Name | Vinisha N Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467862037 PECOS PAC ID: 3678879905 Enrollment ID: I20230128000295 |
| Provider Name | Madison Julian Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245952670 PECOS PAC ID: 8123491909 Enrollment ID: I20230224002276 |
| Provider Name | Taylor Dimmerling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235754953 PECOS PAC ID: 0941663488 Enrollment ID: I20230830003451 |
| Provider Name | Stephanie Lynne Veselka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457030439 PECOS PAC ID: 2264886878 Enrollment ID: I20231002001208 |
| Provider Name | David A Lankford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194081067 PECOS PAC ID: 0446551147 Enrollment ID: I20231005001569 |
| Provider Name | Melissa Lynn Castilleja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679256895 PECOS PAC ID: 2062867328 Enrollment ID: I20231006001936 |
| Provider Name | Neetan K Dhillon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861011371 PECOS PAC ID: 1052736170 Enrollment ID: I20231109003425 |
| Provider Name | Edith T Wuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005060 PECOS PAC ID: 8820445737 Enrollment ID: I20231115001359 |
| Provider Name | Olivia Marie Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174307896 PECOS PAC ID: 8527419779 Enrollment ID: I20240111003838 |
| Provider Name | Stephanie R Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952176844 PECOS PAC ID: 1850743360 Enrollment ID: I20240120000302 |
| Provider Name | Xiao Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750382586 PECOS PAC ID: 7810993995 Enrollment ID: I20240312003179 |
| Provider Name | Heather Brunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922697168 PECOS PAC ID: 2062812951 Enrollment ID: I20240313001170 |
| Provider Name | Chasity Ann Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871361014 PECOS PAC ID: 5890132427 Enrollment ID: I20240329001362 |
| Provider Name | Tiera S Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801654124 PECOS PAC ID: 9335581206 Enrollment ID: I20240523000592 |
| Provider Name | Bryanna Mari Jay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245818764 PECOS PAC ID: 5193129831 Enrollment ID: I20240627002284 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376954693 PECOS PAC ID: 7113216326 Enrollment ID: I20240717003771 |
| Provider Name | Hannah Renee Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497595599 PECOS PAC ID: 3971040668 Enrollment ID: I20240730003642 |
| Provider Name | Margaret Ann Eble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053155994 PECOS PAC ID: 6406393081 Enrollment ID: I20240731003012 |
| Provider Name | Emily Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982449823 PECOS PAC ID: 9335687938 Enrollment ID: I20240814001739 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134797434 PECOS PAC ID: 6406250968 Enrollment ID: I20240820004605 |
| Provider Name | Christopher Lee Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760231245 PECOS PAC ID: 2163953746 Enrollment ID: I20241007003173 |
| Provider Name | Natalie Rae Marienthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003653734 PECOS PAC ID: 0840724290 Enrollment ID: I20241107004248 |
| Provider Name | Victoria Elizabeth Bilius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770316168 PECOS PAC ID: 9537693395 Enrollment ID: I20241115001753 |
| Provider Name | Hetal V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952978108 PECOS PAC ID: 1759782790 Enrollment ID: I20241202003562 |
| Provider Name | Andie M Schmutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942024898 PECOS PAC ID: 8123554573 Enrollment ID: I20241212001551 |
| Provider Name | Taeler Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366272445 PECOS PAC ID: 8426584384 Enrollment ID: I20241216002232 |
| Provider Name | Amulya Reddy Dega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194301796 PECOS PAC ID: 9638578073 Enrollment ID: I20250224002207 |
Neighborhood Health Association Of Toledo, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Nebraska Ave, Toledo, OH 43607 Phone: 419-255-4050 Fax: 419-720-7895 | |
Lifestream Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6629 W Central Ave, Toledo, OH 43617 Phone: 419-475-4449 | |
Randall Mccormick Toledo Internal Medicine Spec Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Cherry St, Ste 207, Toledo, OH 43608 Phone: 419-251-7672 Fax: 419-251-6785 | |
Sportscare Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 N Reynolds Rd Ste 140, Toledo, OH 43615 Phone: 419-578-7590 Fax: 419-537-5605 | |
Tracey Warren Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 | |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Central Ave, Toledo, OH 43608 Phone: 419-221-3072 | |
Comprehensive Care Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4126 N Holland Sylvania Rd, Suite 100, Toledo, OH 43623 Phone: 419-473-9500 Fax: 419-473-9501 |