| Promedica Multi Specialty | |
|
100 Madison Ave Msc-s38805 Toledo OH 43604-1531 | |
| (567) 585-1964 | |
| (419) 824-7359 |
| Full Name | Promedica Multi Specialty |
|---|---|
| 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 100 Madison Ave Msc-s38805 Toledo OH 43604-1531 Ph: (567) 585-1964 | Promedica Multi Specialty 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 | 10/04/2023 |
| Medicare PECOS PAC ID | 7113182809 |
|---|---|
| Medicare Enrollment ID | O20120702000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306105150 | NPI | - | NPPES |
| 0065185 | Medicaid | OH |
| Provider Name | Shivaprasad K Shetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235133190 PECOS PAC ID: 5991607863 Enrollment ID: I20040123000793 |
| Provider Name | Layth Maolood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790788701 PECOS PAC ID: 5991699753 Enrollment ID: I20040211001252 |
| 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 | Sanjiv Kumar Josh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942209614 PECOS PAC ID: 6709856537 Enrollment ID: I20040729000275 |
| 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 | David Charles Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851424535 PECOS PAC ID: 7416051719 Enrollment ID: I20070327000009 |
| 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 | Lauren J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598900516 PECOS PAC ID: 2062561921 Enrollment ID: I20090522000497 |
| 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 | 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 | Dee Ann Bialecki-haase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144222886 PECOS PAC ID: 3577693431 Enrollment ID: I20100621000022 |
| 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 | Adam Schweickert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174709885 PECOS PAC ID: 7719174424 Enrollment ID: I20101207001078 |
| 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 | Tina M Baden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407037542 PECOS PAC ID: 1153586003 Enrollment ID: I20120627000706 |
| 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 | Angela Doris Scardina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346420908 PECOS PAC ID: 0345494563 Enrollment ID: I20130215000316 |
| 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 | Muhammad R Faisal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003858267 PECOS PAC ID: 2567415987 Enrollment ID: I20140529000106 |
| Provider Name | Khaled M N Abuhanttash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184889180 PECOS PAC ID: 0143344382 Enrollment ID: I20140620000981 |
| Provider Name | Kalpana Naraharisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477719623 PECOS PAC ID: 1254556624 Enrollment ID: I20140627001814 |
| Provider Name | Naeem M Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982383 PECOS PAC ID: 3173766227 Enrollment ID: I20141105001531 |
| Provider Name | Rajat R Kaul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992099840 PECOS PAC ID: 1557583416 Enrollment ID: I20141107001416 |
| 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 | Imad Ayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515268 PECOS PAC ID: 0042105173 Enrollment ID: I20150804003353 |
| Provider Name | Mamtha Balla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346503034 PECOS PAC ID: 0648428938 Enrollment ID: I20150810001393 |
| Provider Name | Mary Jane S Belderol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255696134 PECOS PAC ID: 2769798404 Enrollment ID: I20150826001377 |
| Provider Name | Jessica Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366824401 PECOS PAC ID: 2466769260 Enrollment ID: I20150910002091 |
| Provider Name | Joshua M Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669854790 PECOS PAC ID: 8820306863 Enrollment ID: I20150924002310 |
| Provider Name | Erin E Losey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871976266 PECOS PAC ID: 6406164391 Enrollment ID: I20150925001057 |
| Provider Name | Janet D Caygill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538530233 PECOS PAC ID: 3577864867 Enrollment ID: I20151210000392 |
| Provider Name | Tonisha Monique Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053778332 PECOS PAC ID: 8224334826 Enrollment ID: I20160308001735 |
| Provider Name | Sandra K Oetting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992034458 PECOS PAC ID: 9335338276 Enrollment ID: I20160329002601 |
| 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 | Tejal P Kaul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235497447 PECOS PAC ID: 4385957497 Enrollment ID: I20160713002647 |
| Provider Name | Tejaswini Jagadish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720423627 PECOS PAC ID: 7911290200 Enrollment ID: I20160725001077 |
| Provider Name | Angela K Beil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107452 PECOS PAC ID: 4587959028 Enrollment ID: I20160823003192 |
| Provider Name | George Maidaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790093797 PECOS PAC ID: 0244474997 Enrollment ID: I20160824003120 |
| Provider Name | Brian Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679913594 PECOS PAC ID: 9436440120 Enrollment ID: I20160922002908 |
| Provider Name | Lisa L Diekman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902354079 PECOS PAC ID: 9830487230 Enrollment ID: I20161018002836 |
| Provider Name | Sneha Latha Kommoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518198308 PECOS PAC ID: 7214218619 Enrollment ID: I20161222001644 |
| Provider Name | Francis Chikadibia Nwanyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871932970 PECOS PAC ID: 5991086258 Enrollment ID: I20161227001898 |
| 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 | Cathy M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247332 PECOS PAC ID: 5496039331 Enrollment ID: I20170512001555 |
| Provider Name | Ghattas Alkhoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347000 PECOS PAC ID: 1254635253 Enrollment ID: I20170517002170 |
| 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 | Bilal Alawy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184004541 PECOS PAC ID: 0840551578 Enrollment ID: I20180221000203 |
| Provider Name | Kerri J Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427458561 PECOS PAC ID: 7618199894 Enrollment ID: I20180510000933 |
| Provider Name | Erica Lu Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326433764 PECOS PAC ID: 5092019455 Enrollment ID: I20180808000452 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20180821002425 |
| Provider Name | Jamie Marie Hallock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598250557 PECOS PAC ID: 6800146374 Enrollment ID: I20180904001197 |
| Provider Name | Michelle Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982198917 PECOS PAC ID: 9739439936 Enrollment ID: I20180910002201 |
| 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 | Merajuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114389210 PECOS PAC ID: 6002145976 Enrollment ID: I20190903002051 |
| Provider Name | Mohamed B Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710332606 PECOS PAC ID: 2365734365 Enrollment ID: I20190918003432 |
| Provider Name | Karen Elizabeth Hutchinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164536520 PECOS PAC ID: 6406907823 Enrollment ID: I20190927003058 |
| Provider Name | Bradley M Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932562618 PECOS PAC ID: 6406143148 Enrollment ID: I20191002001897 |
| Provider Name | Pooja Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215578877 PECOS PAC ID: 7012349038 Enrollment ID: I20191113001742 |
| Provider Name | Kyle D Krotzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356997373 PECOS PAC ID: 2466885710 Enrollment ID: I20191127002049 |
| Provider Name | Cynthia Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780221002 PECOS PAC ID: 6800221342 Enrollment ID: I20200110001733 |
| Provider Name | Melissa Kay Lagrange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403304 PECOS PAC ID: 8729417027 Enrollment ID: I20200408001804 |
| Provider Name | Stephanie A Gwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225651029 PECOS PAC ID: 0648693556 Enrollment ID: I20200710002451 |
| Provider Name | Kathleen Carr Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669974879 PECOS PAC ID: 7113334079 Enrollment ID: I20210324002330 |
| Provider Name | Nicholas R Homer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447612262 PECOS PAC ID: 7719261577 Enrollment ID: I20210524002333 |
| Provider Name | Kristyn N Reser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942810338 PECOS PAC ID: 9931508652 Enrollment ID: I20210601001225 |
| Provider Name | Manzur Moidunny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689169872 PECOS PAC ID: 7416286067 Enrollment ID: I20210709000687 |
| 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 | Jennifer Ann Grech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457858847 PECOS PAC ID: 1153684220 Enrollment ID: I20210901001492 |
| 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 | Amanda Lynn-grace Donnelly-cowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598424913 PECOS PAC ID: 3072906585 Enrollment ID: I20220211001735 |
| Provider Name | Andre Noumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710369210 PECOS PAC ID: 2365751369 Enrollment ID: I20220405001638 |
| Provider Name | Katherine Marie Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851044846 PECOS PAC ID: 8022404755 Enrollment ID: I20220406001626 |
| 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 | Ravi P Pothireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578755476 PECOS PAC ID: 7416046826 Enrollment ID: I20220608000891 |
| Provider Name | Ahmad Murad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730561804 PECOS PAC ID: 6103127220 Enrollment ID: I20220629003604 |
| Provider Name | Sehrish B Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881253094 PECOS PAC ID: 2062892938 Enrollment ID: I20220708003401 |
| Provider Name | Rahaf Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740843226 PECOS PAC ID: 2567796956 Enrollment ID: I20220727003153 |
| Provider Name | Muhamad Ubby Ahed Kalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205397387 PECOS PAC ID: 8224436563 Enrollment ID: I20220728003315 |
| Provider Name | Resha Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215498381 PECOS PAC ID: 8325429582 Enrollment ID: I20220729001683 |
| Provider Name | Hany Eskarous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790285203 PECOS PAC ID: 3375946023 Enrollment ID: I20220926003272 |
| Provider Name | Mahammad Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407412083 PECOS PAC ID: 7012246911 Enrollment ID: I20221003002404 |
| Provider Name | Hajra Munawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740741941 PECOS PAC ID: 4789914102 Enrollment ID: I20221012002446 |
| Provider Name | Raied Talal Hufdhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336609452 PECOS PAC ID: 8921474198 Enrollment ID: I20221013002359 |
| Provider Name | Joseph S Alecusan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609436377 PECOS PAC ID: 9032585112 Enrollment ID: I20221013003277 |
| 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 | Nicole Marie Katzakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639817323 PECOS PAC ID: 6204206816 Enrollment ID: I20230104001113 |
| Provider Name | Courtney Nicole Kimerer |
|---|---|
| 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 | Kayla M Lockhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811556137 PECOS PAC ID: 6406228147 Enrollment ID: I20230207001078 |
| Provider Name | Madison Julian Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245952670 PECOS PAC ID: 8123491909 Enrollment ID: I20230224002276 |
| Provider Name | Jamella Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235834607 PECOS PAC ID: 2163889551 Enrollment ID: I20230530002023 |
| 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 | Neetan K Dhillon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861011371 PECOS PAC ID: 1052736170 Enrollment ID: I20231109003425 |
| Provider Name | Ayman M Aouthmany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639668429 PECOS PAC ID: 8628323573 Enrollment ID: I20231122000629 |
| 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 |
Zepf Community Mental Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Nebraska Ave, Toledo, OH 43607 Phone: 419-255-4050 Fax: 419-720-7895 | |
Harbor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6629 W Central Ave, Toledo, OH 43617 Phone: 419-475-4449 | |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 | |
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 | |
Woodward Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Central Ave, Toledo, OH 43608 Phone: 419-221-3072 |