| Swing Care Provider Group, P.c. | |
|
21 E State St Ste 200 Columbus OH 43215-0109 | |
| (262) 667-7326 | |
| (877) 349-1868 |
| Full Name | Swing Care Provider Group, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 E State St Ste 200, Columbus, Ohio |
| Authorized Official Name and Position | Jeremy Frank (HEAD OF OPERATIONS) |
| Authorized Official Contact | 4156020855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swing Care Provider Group, P.c. 440 N Barranca Ave # 1801 Covina CA 91723-1722 Ph: (800) 924-7811 | Swing Care Provider Group, P.c. 21 E State St Ste 200 Columbus OH 43215-0109 Ph: (262) 667-7326 |
| NPI Number | 1376325415 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 0244601904 |
|---|---|
| Medicare Enrollment ID | O20230802002395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376325415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jennifer E Zuccarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760736904 PECOS PAC ID: 6507233277 Enrollment ID: I20230706000325 |
| Provider Name | Saritha G Pothuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457387995 PECOS PAC ID: 3274526355 Enrollment ID: I20231116000261 |
| Provider Name | Payton Reiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568812477 PECOS PAC ID: 0547642704 Enrollment ID: I20231121000139 |
| Provider Name | Dianne M Shumay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801936885 PECOS PAC ID: 6305940214 Enrollment ID: I20240515001643 |
| Provider Name | Julia Hargesheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427298801 PECOS PAC ID: 3971789587 Enrollment ID: I20241122001721 |
| Provider Name | Omotayo Grace Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578237996 PECOS PAC ID: 1557755782 Enrollment ID: I20241203003424 |
| Provider Name | Neena Kurien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780141259 PECOS PAC ID: 4486083995 Enrollment ID: I20241231003760 |
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