| Rchp-wilmington, Llc | |
|
610 W Main St Wilmington OH 45177-2125 | |
| (937) 283-9845 | |
| (937) 283-9839 |
| Full Name | Rchp-wilmington, Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 610 W Main St, Wilmington, Ohio |
| Authorized Official Name and Position | Kathy Teague (VICE PRESIDENT, CORPORATE SECRETARY) |
| Authorized Official Contact | 6292535121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rchp-wilmington, Llc Po Box 117054 Atlanta GA 30368-7054 Ph: (937) 283-9845 | Rchp-wilmington, Llc 610 W Main St Wilmington OH 45177-2125 Ph: (937) 283-9845 |
| NPI Number | 1063715712 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 6709065931 |
|---|---|
| Medicare Enrollment ID | O20110120000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063715712 | NPI | - | NPPES |
| Provider Name | John Sacco |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336133685 PECOS PAC ID: 7214849686 Enrollment ID: I20031119000861 |
| Provider Name | Ronald J Pedalino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184690257 PECOS PAC ID: 6901892975 Enrollment ID: I20040423001006 |
| Provider Name | Thomas Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255386843 PECOS PAC ID: 5698757722 Enrollment ID: I20040603000066 |
| Provider Name | Joseph Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104870443 PECOS PAC ID: 9234127937 Enrollment ID: I20040628001693 |
| Provider Name | Daniel Edward Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104872399 PECOS PAC ID: 2062484363 Enrollment ID: I20040809000061 |
| Provider Name | Peter R Fried |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851384671 PECOS PAC ID: 6305758772 Enrollment ID: I20041005001241 |
| Provider Name | Mhd Y Al-marrawi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588602627 PECOS PAC ID: 5294791406 Enrollment ID: I20041208000915 |
| Provider Name | Christine E Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659364842 PECOS PAC ID: 2668439050 Enrollment ID: I20041217000003 |
| Provider Name | James Traiforos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487693602 PECOS PAC ID: 4082650403 Enrollment ID: I20050707000092 |
| Provider Name | Glenn Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699721407 PECOS PAC ID: 5597785584 Enrollment ID: I20051206000443 |
| Provider Name | Peter J Engel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447237342 PECOS PAC ID: 5294746699 Enrollment ID: I20060524000105 |
| Provider Name | Susan W Feeney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750321469 PECOS PAC ID: 7012929466 Enrollment ID: I20060629000074 |
| Provider Name | Eugene Paik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003860024 PECOS PAC ID: 1658384300 Enrollment ID: I20060724000273 |
| Provider Name | John T Hollon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124092846 PECOS PAC ID: 0749372944 Enrollment ID: I20070817000130 |
| Provider Name | Mary L Inwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154382901 PECOS PAC ID: 7810978293 Enrollment ID: I20071128000365 |
| Provider Name | Rashad H El-dabh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316949266 PECOS PAC ID: 5395780696 Enrollment ID: I20100528000001 |
| Provider Name | Christopher R Gailliot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588657787 PECOS PAC ID: 7911039797 Enrollment ID: I20100714000254 |
| Provider Name | Bruce E Staley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841283033 PECOS PAC ID: 7416089214 Enrollment ID: I20100716000415 |
| Provider Name | Mark S Collins |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962451021 PECOS PAC ID: 5294868832 Enrollment ID: I20100803000193 |
| Provider Name | Maryann Daffeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699082198 PECOS PAC ID: 3072790690 Enrollment ID: I20110608000628 |
| Provider Name | Steven A Walston |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053623397 PECOS PAC ID: 0648411272 Enrollment ID: I20160829002050 |
| Provider Name | Jennifer Leigh Hatton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386931434 PECOS PAC ID: 6608018932 Enrollment ID: I20170622000710 |
| Provider Name | Jill M Reese |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194246009 PECOS PAC ID: 0749553790 Enrollment ID: I20170913001991 |
| Provider Name | Timothy S Tatum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669732723 PECOS PAC ID: 9931349503 Enrollment ID: I20180515001987 |
| Provider Name | Patrick Hussey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336409515 PECOS PAC ID: 6204078843 Enrollment ID: I20180613002804 |
| Provider Name | Robert Todd Mcclure |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750309845 PECOS PAC ID: 6800978891 Enrollment ID: I20190221002306 |
| Provider Name | Hassan Issa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720278708 PECOS PAC ID: 9032241625 Enrollment ID: I20220310002340 |
| Provider Name | Derek Zipkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447670500 PECOS PAC ID: 3577864719 Enrollment ID: I20220616002511 |
| Provider Name | John Bahakel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255787925 PECOS PAC ID: 9436583630 Enrollment ID: I20220719003365 |
| Provider Name | Brad Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366510794 PECOS PAC ID: 3375533235 Enrollment ID: I20240620000305 |
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