| Ultimate Access Primary Care | |
|
4256 Fulton Dr Nw Canton OH 44718-2879 | |
| (330) 754-6696 | |
| Not Available |
| Full Name | Ultimate Access Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4256 Fulton Dr Nw, Canton, Ohio |
| Authorized Official Name and Position | Zanita Hill (OFFICE MANAGER) |
| Authorized Official Contact | 3307546696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Access Primary Care 4256 Fulton Dr Nw Canton OH 44718-2879 Ph: () - | Ultimate Access Primary Care 4256 Fulton Dr Nw Canton OH 44718-2879 Ph: (330) 754-6696 |
| NPI Number | 1073021689 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 01/17/2018 |
| Medicare PECOS PAC ID | 1658704945 |
|---|---|
| Medicare Enrollment ID | O20191126003032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073021689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maria S Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295784601 PECOS PAC ID: 8527149509 Enrollment ID: I20080116000088 |
| Provider Name | Michael L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346273281 PECOS PAC ID: 8325012727 Enrollment ID: I20080211000859 |
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