| Vepa LLC | |
|
2655 W National Rd Springfield OH 45504-3617 | |
| (937) 430-1230 | |
| Not Available |
| Full Name | Vepa LLC |
|---|---|
| Speciality | General Practice |
| Location | 2655 W National Rd, Springfield, Ohio |
| Authorized Official Name and Position | Parminder Modgil (OWNER) |
| Authorized Official Contact | 9374301230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vepa LLC 1140 Charter Pl Centerville OH 45458-3943 Ph: (937) 430-1230 | Vepa LLC 2655 W National Rd Springfield OH 45504-3617 Ph: (937) 430-1230 |
| NPI Number | 1124475504 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 05/16/2016 |
| Medicare PECOS PAC ID | 0648561761 |
|---|---|
| Medicare Enrollment ID | O20160621001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124475504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 201613003416 (Ohio) | Primary |
| Provider Name | Parminder K Modgil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528166816 PECOS PAC ID: 0446257323 Enrollment ID: I20061107000463 |
| Provider Name | Cheryl Minney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407355696 PECOS PAC ID: 4688003916 Enrollment ID: I20200407002182 |
| Provider Name | Kimberly Ann Mccutcheon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750032520 PECOS PAC ID: 0547656266 Enrollment ID: I20220406001289 |
| Provider Name | Heather D Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750920617 PECOS PAC ID: 0446633168 Enrollment ID: I20220812002551 |
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