| Welden Medical, Llc | |
|
872 Ohio Pike Cincinnati OH 45245 | |
| (513) 947-9115 | |
| (513) 752-6695 |
| Full Name | Welden Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 872 Ohio Pike, Cincinnati, Ohio |
| Authorized Official Name and Position | Noor U Hassan (OWNER) |
| Authorized Official Contact | 5139479115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Welden Medical, Llc Po Box 634919 Cincinnati OH 45263-0001 Ph: (513) 891-2813 | Welden Medical, Llc 872 Ohio Pike Cincinnati OH 45245 Ph: (513) 947-9115 |
| NPI Number | 1457306102 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 09/06/2018 |
| Medicare PECOS PAC ID | 9830144120 |
|---|---|
| Medicare Enrollment ID | O20050321000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457306102 | NPI | - | NPPES |
| 2599657 | Medicaid | OH |
| Provider Name | John Pressler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043317191 PECOS PAC ID: 2668458902 Enrollment ID: I20040628000030 |
| Provider Name | Noor U Hassan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205875069 PECOS PAC ID: 8527099449 Enrollment ID: I20050830000573 |
| Provider Name | Lisa R Gergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497748263 PECOS PAC ID: 6406951615 Enrollment ID: I20070417000495 |
| Provider Name | Roslyn J Kocsis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477913648 PECOS PAC ID: 7012215692 Enrollment ID: I20180205002438 |
| Provider Name | Mary E Diruzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013596824 PECOS PAC ID: 9739577198 Enrollment ID: I20211104000579 |
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