Wilmington Physicians Group Llc | |
610 W Main St Wilmington OH 45177-2125 | |
(937) 382-5438 | |
(937) 382-5260 |
Full Name | Wilmington Physicians Group Llc |
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Speciality | Family Medicine |
Location | 610 W Main St, Wilmington, Ohio |
Authorized Official Name and Position | Kathy J Teague (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wilmington Physicians Group Llc 610 W Main St Wilmington OH 45177-2125 Ph: (937) 283-9845 | Wilmington Physicians Group Llc 610 W Main St Wilmington OH 45177-2125 Ph: (937) 382-5438 |
NPI Number | 1932401411 |
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Provider Enumeration Date | 12/03/2010 |
Last Update Date | 01/21/2019 |
Medicare PECOS PAC ID | 4688853419 |
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Medicare Enrollment ID | O20110126000617 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932401411 | NPI | - | NPPES |
0050274 | Medicaid | OH |
Provider Name | Dennis R Holderman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588622260 PECOS PAC ID: 4880590173 Enrollment ID: I20031209000130 |
Provider Name | Philip C Aschi |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1467463695 PECOS PAC ID: 7012814908 Enrollment ID: I20031218000074 |
Provider Name | Robert Kloos |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1912950197 PECOS PAC ID: 9436111564 Enrollment ID: I20041101000979 |
Provider Name | Linda J Brackett |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1679531321 PECOS PAC ID: 3779517560 Enrollment ID: I20050921000586 |
Provider Name | Ronald Devore |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1619078201 PECOS PAC ID: 8820992324 Enrollment ID: I20070416000012 |
Provider Name | Richard Allen Devore |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1356344717 PECOS PAC ID: 5395638472 Enrollment ID: I20070710000994 |
Provider Name | Michael L Clark |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1114988540 PECOS PAC ID: 5092749721 Enrollment ID: I20090224000633 |
Provider Name | Steven R Weber |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396701926 PECOS PAC ID: 0840325254 Enrollment ID: I20100323000922 |
Provider Name | Mark W Hodges |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710974209 PECOS PAC ID: 0941240154 Enrollment ID: I20100414000956 |
Provider Name | Kenneth B Pugar |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1528060399 PECOS PAC ID: 2163319930 Enrollment ID: I20100520000672 |
Provider Name | Rick Dwight Compton |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1063409514 PECOS PAC ID: 9537298542 Enrollment ID: I20100602000005 |
Provider Name | Phillip C Carr |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063456747 PECOS PAC ID: 9830220805 Enrollment ID: I20100708000719 |
Provider Name | Bruce E Staley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841283033 PECOS PAC ID: 7416089214 Enrollment ID: I20100716000415 |
Provider Name | Timothy Lee Schoonover |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033111802 PECOS PAC ID: 7416844295 Enrollment ID: I20100720000695 |
Provider Name | Michelle R Noel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376758797 PECOS PAC ID: 0446301352 Enrollment ID: I20100816000121 |
Provider Name | Samuel S. Del Mauro |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1700880317 PECOS PAC ID: 8527077759 Enrollment ID: I20100921000048 |
Provider Name | Sheila C Llanes-diopita |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982861688 PECOS PAC ID: 1759556814 Enrollment ID: I20111219000762 |
Provider Name | Patrick A Quinn |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093778300 PECOS PAC ID: 7618986183 Enrollment ID: I20120131000681 |
Provider Name | Paul Prior |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922024256 PECOS PAC ID: 0042471781 Enrollment ID: I20120405000536 |
Provider Name | Mirza Shahzad Hasan |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1477653467 PECOS PAC ID: 0749264554 Enrollment ID: I20120904000221 |
Provider Name | Rodel A Cacas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568752236 PECOS PAC ID: 8628217106 Enrollment ID: I20130612000614 |
Provider Name | Donald Reed |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1427041391 PECOS PAC ID: 6901830041 Enrollment ID: I20130625000467 |
Provider Name | Dilip Bearelly |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306929435 PECOS PAC ID: 9032211776 Enrollment ID: I20150225002517 |
Provider Name | Rachel C Lovano |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1710128855 PECOS PAC ID: 3476709676 Enrollment ID: I20160511002270 |
Provider Name | Cheyenne M Gasaway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881133106 PECOS PAC ID: 7113201450 Enrollment ID: I20170303001896 |
Provider Name | Jon P Durrani |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932495157 PECOS PAC ID: 0941448955 Enrollment ID: I20170418001800 |
Provider Name | Megan Louise Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104364884 PECOS PAC ID: 4284911157 Enrollment ID: I20170502000532 |
Provider Name | Kenneth D Pugar |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1174961874 PECOS PAC ID: 9234368333 Enrollment ID: I20170526001569 |
Provider Name | Nishant Kalra |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1316146236 PECOS PAC ID: 3072605807 Enrollment ID: I20170712004051 |
Provider Name | Dallas Hansen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1720214935 PECOS PAC ID: 2860620168 Enrollment ID: I20170913003936 |
Provider Name | Nathan J Roberts |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1972884757 PECOS PAC ID: 7012201064 Enrollment ID: I20171010000705 |
Provider Name | Jessica Volsky Katz |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578850244 PECOS PAC ID: 6901182849 Enrollment ID: I20171020000502 |
Provider Name | Kenneth Wayne Vawter |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649268970 PECOS PAC ID: 0749502805 Enrollment ID: I20180214001548 |
Provider Name | Lori Tucker |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174534291 PECOS PAC ID: 8426072497 Enrollment ID: I20180508002185 |
Provider Name | Noelle Elizabeth Singer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801392485 PECOS PAC ID: 7719241082 Enrollment ID: I20180514002775 |
Provider Name | Drew W Dula |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1386050821 PECOS PAC ID: 7911220512 Enrollment ID: I20180612001109 |
Provider Name | Lenora A Fitton |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184685273 PECOS PAC ID: 2264607233 Enrollment ID: I20190508002577 |
Provider Name | Sara Marie Williams |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1992107320 PECOS PAC ID: 1850634031 Enrollment ID: I20190510002078 |
Provider Name | Tracy Dean Kelley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851943757 PECOS PAC ID: 2466783170 Enrollment ID: I20191010002625 |
Provider Name | Tamara Tofte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588205934 PECOS PAC ID: 5890127005 Enrollment ID: I20191108001557 |
Provider Name | Terin J Rowe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285275966 PECOS PAC ID: 5799117875 Enrollment ID: I20191111001610 |
Provider Name | Anna Schubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619538592 PECOS PAC ID: 1951734748 Enrollment ID: I20191209002914 |
Provider Name | Katherine Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740834316 PECOS PAC ID: 8224467949 Enrollment ID: I20200401000921 |
Provider Name | Ashley E Berman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164733192 PECOS PAC ID: 4284064668 Enrollment ID: I20200427001377 |
Provider Name | Derek J Menkedick |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1699137364 PECOS PAC ID: 5991096117 Enrollment ID: I20200605001960 |
Provider Name | Hassan F Hamed |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1659334696 PECOS PAC ID: 9931006582 Enrollment ID: I20200713003567 |
Provider Name | Emily Lynn Dowd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225643604 PECOS PAC ID: 0840610093 Enrollment ID: I20201009000423 |
Provider Name | Taylor C Kabacinski |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1922476332 PECOS PAC ID: 5890086946 Enrollment ID: I20201028001088 |
Provider Name | Brad Thomas Hyatt |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831497684 PECOS PAC ID: 1557504511 Enrollment ID: I20210113000879 |
Provider Name | Aubrey Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598152233 PECOS PAC ID: 3870814676 Enrollment ID: I20210414001186 |
Provider Name | Tamara M. Barlage |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831771336 PECOS PAC ID: 0648689489 Enrollment ID: I20210507002341 |
Provider Name | Sara Ramquist |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245762459 PECOS PAC ID: 9739466533 Enrollment ID: I20210720003824 |
Provider Name | Nicole Alexander |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1508397043 PECOS PAC ID: 9739453077 Enrollment ID: I20210831000835 |
Provider Name | Peter Joseph Macander |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1285613851 PECOS PAC ID: 9335118728 Enrollment ID: I20211022002479 |
Provider Name | Eric Vaillant |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1992963227 PECOS PAC ID: 7517387699 Enrollment ID: I20220223002487 |
Provider Name | Christopher Lepage Gaunder |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1811133101 PECOS PAC ID: 8628353042 Enrollment ID: I20220606000551 |
Provider Name | Jason Beachler |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1508108010 PECOS PAC ID: 1951626027 Enrollment ID: I20220607003102 |
Provider Name | Ali Kimyaghalam |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1922455146 PECOS PAC ID: 4587033998 Enrollment ID: I20230531003296 |
Provider Name | Austin Moore |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1326497637 PECOS PAC ID: 6406230051 Enrollment ID: I20230614002928 |
Provider Name | Daniel Ross Fogt |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1083103865 PECOS PAC ID: 9638428089 Enrollment ID: I20240202003371 |
Center For Dental Health Dental Clinic Medicare: Medicare Enrolled Practice Location: 110 E Locust St, Wilmington, OH 45177 Phone: 937-382-3008 Fax: 937-382-7447 | |
Clifford J Steinle Iii D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 S South St, Wilmington, OH 45177 Phone: 937-382-2212 Fax: 937-382-7212 | |
Lesia Langston-mckenna, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 W Main St, Wilmington, OH 45177 Phone: 937-383-1913 Fax: 937-655-8809 | |
John K Loudermilk Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 W. Locust St., Wilmington, OH 45177 Phone: 937-382-0951 Fax: 937-382-0953 | |
David T. Van Zant Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2125 Rombach Ave, Wilmington, OH 45177 Phone: 937-382-2627 Fax: 937-382-0647 |