| Worthington Industries Medical Center, Inc. | |
|
1250 Dearborn Dr Columbus OH 43085-4767 | |
| (614) 840-3500 | |
| (614) 840-3510 |
| Full Name | Worthington Industries Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1250 Dearborn Dr, Columbus, Ohio |
| Authorized Official Name and Position | David Paul Cowden (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6148403500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worthington Industries Medical Center, Inc. 1250 Dearborn Dr Columbus OH 43085-4767 Ph: (614) 840-3500 | Worthington Industries Medical Center, Inc. 1250 Dearborn Dr Columbus OH 43085-4767 Ph: (614) 840-3500 |
| NPI Number | 1780875070 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 01/09/2008 |
| Medicare PECOS PAC ID | 1254411762 |
|---|---|
| Medicare Enrollment ID | O20120606000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780875070 | NPI | - | NPPES |
| 0180861 | Medicaid | OH | |
| OH84035 | Medicaid | OH | |
| 0654297 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35063833 (Ohio) | Primary |
| Provider Name | Katherine K Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689613309 PECOS PAC ID: 4789640525 Enrollment ID: I20041203000474 |
| Provider Name | Bill G Gegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285786418 PECOS PAC ID: 0143319319 Enrollment ID: I20071211000480 |
| Provider Name | Matthew Mchugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053459958 PECOS PAC ID: 7315036589 Enrollment ID: I20071211000490 |
| Provider Name | Ann A Burk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295926988 PECOS PAC ID: 9830279397 Enrollment ID: I20080109000577 |
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