| Valley Medical Primary Care, Inc | |
|
6611 Clyo Rd Suite E Centerville OH 45459-2786 | |
| (937) 208-8280 | |
| (937) 208-8276 |
| Full Name | Valley Medical Primary Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6611 Clyo Rd, Centerville, Ohio |
| Authorized Official Name and Position | Meenakshi C Patel (OWNER) |
| Authorized Official Contact | 9372088280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Medical Primary Care, Inc 6611 Clyo Rd Suite E Centerville OH 45459-2786 Ph: (937) 208-8280 | Valley Medical Primary Care, Inc 6611 Clyo Rd Suite E Centerville OH 45459-2786 Ph: (937) 208-8280 |
| NPI Number | 1528127610 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 0840284345 |
|---|---|
| Medicare Enrollment ID | O20040408000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528127610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Ohio) | Primary |
| Provider Name | Gurjeet Singh Kahlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649209644 PECOS PAC ID: 5092715540 Enrollment ID: I20070105000335 |
| Provider Name | Terri Pence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144555392 PECOS PAC ID: 9335288745 Enrollment ID: I20091124000589 |
| Provider Name | Coca Anghelache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306170923 PECOS PAC ID: 8325187768 Enrollment ID: I20091125000091 |
| Provider Name | Lisa A Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598092710 PECOS PAC ID: 5991845166 Enrollment ID: I20091218000320 |
| Provider Name | Christine B Weller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811953318 PECOS PAC ID: 3476688367 Enrollment ID: I20100317000497 |
| Provider Name | Naga Prasuna Madireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518965094 PECOS PAC ID: 3779616545 Enrollment ID: I20100730000036 |
| Provider Name | Meenakshi C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568458362 PECOS PAC ID: 0648264143 Enrollment ID: I20110421000184 |
| Provider Name | Anton C Vasiliu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558356170 PECOS PAC ID: 4284628793 Enrollment ID: I20110427000141 |
| Provider Name | Irina V Overman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760637540 PECOS PAC ID: 1951572668 Enrollment ID: I20110928000637 |
| Provider Name | Tara Sue Vangundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295080851 PECOS PAC ID: 1052567302 Enrollment ID: I20120802000249 |
| Provider Name | Amelia Whitlatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912280827 PECOS PAC ID: 0941464457 Enrollment ID: I20121003000609 |
| Provider Name | Stacey M Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285024588 PECOS PAC ID: 4880993062 Enrollment ID: I20160422001531 |
| Provider Name | Whitney Harner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255620993 PECOS PAC ID: 9638447147 Enrollment ID: I20170623001435 |
| Provider Name | Jason Edward Leffew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342085 PECOS PAC ID: 4587993555 Enrollment ID: I20190917002070 |
| Provider Name | Lirong Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831744341 PECOS PAC ID: 0345672580 Enrollment ID: I20191108002864 |
| Provider Name | Sharla N Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164918322 PECOS PAC ID: 6608206727 Enrollment ID: I20200413003527 |
| Provider Name | Diane M Kallenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922605005 PECOS PAC ID: 9032520135 Enrollment ID: I20230208001721 |
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Edgar Santillan Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-556-4324 Fax: 937-439-3786 | |
South Dayton Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6611 Clyo Rd, Suite C, Centerville, OH 45459 Phone: 937-208-8288 Fax: 937-208-8286 | |
Bellbrook Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6438 Wilmington Pike, Suite110, Centerville, OH 45459 Phone: 937-848-4121 Fax: 937-848-5965 | |
Sesslar Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6627 Centerville Business Pkwy, Centerville, OH 45459 Phone: 937-312-9212 Fax: 937-312-0742 |