Jonathan H Wynbrandt, MD | |
5264 Lee Rd, Maple Heights, OH 44137-1232 | |
(305) 628-6117 | |
Not Available |
Full Name | Jonathan H Wynbrandt |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 5264 Lee Rd, Maple Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891807012 | NPI | - | NPPES |
2683510 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35088389 (Ohio) | Primary |
Entity Name | Community Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538236872 PECOS PAC ID: 5496648123 Enrollment ID: O20040205000697 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Hni Medical Services Of Ohio, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356815922 PECOS PAC ID: 1759620735 Enrollment ID: O20190308002704 |
Entity Name | Dedicated Ohio Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922631019 PECOS PAC ID: 2769718659 Enrollment ID: O20200508000335 |
Mailing Address | Practice Location Address |
---|---|
Jonathan H Wynbrandt, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: () - | Jonathan H Wynbrandt, MD 5264 Lee Rd, Maple Heights, OH 44137-1232 Ph: (305) 628-6117 |
Rosetta Geraci Rowbottom, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 |