| City Of Cincinnati | |
|
1525 Elm St Elm Street Health Center Cincinnati OH 45202-6957 | |
| (513) 352-3092 | |
| (513) 352-1429 |
| Full Name | City Of Cincinnati |
|---|---|
| Speciality | Clinic/Center |
| Location | 1525 Elm St, Cincinnati, Ohio |
| Authorized Official Name and Position | Noble Maseru (HEALTH COMMISSIONER) |
| Authorized Official Contact | 5133577280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Cincinnati 3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (513) 357-7289 | City Of Cincinnati 1525 Elm St Elm Street Health Center Cincinnati OH 45202-6957 Ph: (513) 352-3092 |
| NPI Number | 1811900061 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 3476467804 |
|---|---|
| Medicare Enrollment ID | O20040225000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811900061 | NPI | - | NPPES |
| 0836653 | Medicaid | OH |
| Provider Name | Barbara Bowman Tobias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324012 PECOS PAC ID: 2062307168 Enrollment ID: I20040218000230 |
| Provider Name | Elizabeth A Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740218734 PECOS PAC ID: 2769378892 Enrollment ID: I20040826001120 |
| Provider Name | Joanne E Degreg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922084052 PECOS PAC ID: 4880698331 Enrollment ID: I20060914000317 |
| Provider Name | Monal Arun Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154307247 PECOS PAC ID: 6901800465 Enrollment ID: I20060914000397 |
| Provider Name | Yury R Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699753400 PECOS PAC ID: 7315941895 Enrollment ID: I20060914000544 |
| Provider Name | Preeti R Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144232844 PECOS PAC ID: 2365446242 Enrollment ID: I20061004000274 |
| Provider Name | Christine Joy Odea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467605469 PECOS PAC ID: 1850456807 Enrollment ID: I20090209000167 |
| Provider Name | Dilruba Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881896959 PECOS PAC ID: 0143370015 Enrollment ID: I20090616000009 |
| Provider Name | Elizabeth H Bobst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427146604 PECOS PAC ID: 8426183575 Enrollment ID: I20100316000009 |
| Provider Name | Rocco Rossi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720289556 PECOS PAC ID: 9133250996 Enrollment ID: I20100623000701 |
| Provider Name | Robin A Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487946968 PECOS PAC ID: 3072784230 Enrollment ID: I20110919000761 |
| Provider Name | Heather R Masters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437384716 PECOS PAC ID: 3971744467 Enrollment ID: I20130725000624 |
| Provider Name | Katherine A Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326396102 PECOS PAC ID: 5092958447 Enrollment ID: I20130904000141 |
| Provider Name | Hazel E Kanu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376529404 PECOS PAC ID: 2567692841 Enrollment ID: I20140306000868 |
| Provider Name | Pamela Copass Huffaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568875847 PECOS PAC ID: 0547484362 Enrollment ID: I20140618001695 |
| Provider Name | Nicole M Degreg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225313331 PECOS PAC ID: 0143478768 Enrollment ID: I20140905002335 |
| Provider Name | Kellee Haslon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669878419 PECOS PAC ID: 3678890001 Enrollment ID: I20150324002287 |
| Provider Name | William J. Moravec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558689471 PECOS PAC ID: 6608180104 Enrollment ID: I20150728005131 |
| Provider Name | Christine J Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164864153 PECOS PAC ID: 0840506515 Enrollment ID: I20150826002506 |
| Provider Name | Anne C Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619394558 PECOS PAC ID: 0042582868 Enrollment ID: I20170814002992 |
| Provider Name | Shanna Duffy Stryker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013250596 PECOS PAC ID: 0143463570 Enrollment ID: I20180821003453 |
| Provider Name | Meron Hirpa Kassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841721560 PECOS PAC ID: 8628354644 Enrollment ID: I20201015001008 |
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Richard L. Jackson, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 Erie Ave, Cincinnati, OH 45208 Phone: 513-321-3037 Fax: 513-321-2071 | |
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City Of Cincinnati Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Rockdale Ave, Cincinnati, OH 45229 Phone: 513-352-4072 Fax: 513-352-4075 | |
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