| Sharpe Primary Care Llc | |
|
4889 Sinclair Rd Ste 103 Columbus OH 43229-5433 | |
| (614) 396-7582 | |
| (937) 806-4095 |
| Full Name | Sharpe Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4889 Sinclair Rd Ste 103, Columbus, Ohio |
| Authorized Official Name and Position | Oliver Derick Sharpe (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6143967582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharpe Primary Care Llc 121 Kennedy Park Dr Granville OH 43023-6501 Ph: (614) 396-7582 | Sharpe Primary Care Llc 4889 Sinclair Rd Ste 103 Columbus OH 43229-5433 Ph: (614) 396-7582 |
| NPI Number | 1750150462 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 4688026248 |
|---|---|
| Medicare Enrollment ID | O20240118003805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750150462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Oliver Derick Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457718538 PECOS PAC ID: 4587016142 Enrollment ID: I20240118003894 |
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