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2845 Bell St Zanesville OH 43701-1720 | |
| (740) 454-9766 | |
| (740) 588-6452 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2845 Bell St, Zanesville, Ohio |
| Authorized Official Name and Position | James A Mcdonald (PRESIDENT & CEO) |
| Authorized Official Contact | 7404549766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2845 Bell St Zanesville OH 43701-1720 Ph: (740) 454-9766 | 2845 Bell St Zanesville OH 43701-1720 Ph: (740) 454-9766 |
| NPI Number | 1003883075 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 0547165615 |
|---|---|
| Medicare Enrollment ID | O20031202000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003883075 | NPI | - | NPPES |
| 162223000 | Other | OH | MAGELLAN GROUP PIN |
| 7492 | Medicaid | OH | |
| 23342000 | Other | OH | MAGELLAN FACILITY PIN |
| 2482344 | Medicaid | OH | |
| 5903575 | Other | OH | AETNA PIN |
| F10106 | Other | OH | MOUNT CARMEL PIN |
| 0993653 | Medicaid | OH | |
| 2408657 | Medicaid | OH | |
| 06093 | Other | OH | ODMH MACSIS PIN |
| 218933 | Other | OH | TRICARE/MHN PIN |
| 056249 | Other | OH | VALUE OPTIONS PIN |
| 1044424 | Other | OH | CIGNA GROUP PIN |
| Provider Name | George Moses |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124095906 PECOS PAC ID: 9638067333 Enrollment ID: I20040305000076 |
| Provider Name | Roger J Balogh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811064991 PECOS PAC ID: 5496704835 Enrollment ID: I20050114000909 |
| Provider Name | Denise A Estill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952362162 PECOS PAC ID: 3274557236 Enrollment ID: I20060118000388 |
| Provider Name | Daniel J Bloch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699714774 PECOS PAC ID: 1850398488 Enrollment ID: I20061024000561 |
| Provider Name | Mukesh R Rangwani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912072646 PECOS PAC ID: 3779516539 Enrollment ID: I20080514000011 |
| Provider Name | Sharon C Lyon Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689926982 PECOS PAC ID: 0547214439 Enrollment ID: I20121221000296 |
| Provider Name | Barbara J St. Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306802517 PECOS PAC ID: 7911149133 Enrollment ID: I20130816000574 |
| Provider Name | Melissa A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235486796 PECOS PAC ID: 2062656804 Enrollment ID: I20130918000422 |
| Provider Name | Kenneth Boerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043348410 PECOS PAC ID: 1658515267 Enrollment ID: I20130923000256 |
| Provider Name | Stephanie L Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407269988 PECOS PAC ID: 7315214616 Enrollment ID: I20170516002377 |
| Provider Name | Sharon K Silvus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659892560 PECOS PAC ID: 4284990870 Enrollment ID: I20171115001111 |
| Provider Name | Andrea D Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245683960 PECOS PAC ID: 1254689433 Enrollment ID: I20180803001285 |
| Provider Name | Emily R Ehre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225482896 PECOS PAC ID: 9739427683 Enrollment ID: I20190219001146 |
| Provider Name | Anyi E.a. Asongacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275862633 PECOS PAC ID: 5698182335 Enrollment ID: I20210325001291 |
| Provider Name | Joshua Ndematebem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407484181 PECOS PAC ID: 3173922408 Enrollment ID: I20210519000114 |
| Provider Name | Bradley S Mchenry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477098895 PECOS PAC ID: 6709284235 Enrollment ID: I20211013001433 |
| Provider Name | Wendy Fleagane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053747311 PECOS PAC ID: 5294126132 Enrollment ID: I20220103001159 |
| Provider Name | Ashlei A Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871248476 PECOS PAC ID: 4789061862 Enrollment ID: I20220510002679 |
| Provider Name | Tiffany A Lemon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902323728 PECOS PAC ID: 7416320734 Enrollment ID: I20230307000432 |
| Provider Name | Greene Iheke Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164974531 PECOS PAC ID: 7911371455 Enrollment ID: I20230323001019 |
| Provider Name | Donald E Germany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164906764 PECOS PAC ID: 5991152118 Enrollment ID: I20231109002639 |
| Provider Name | Tammy J Stillion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790754166 PECOS PAC ID: 6507216819 Enrollment ID: I20231228003817 |
| Provider Name | Wade A Danser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376097030 PECOS PAC ID: 7315397627 Enrollment ID: I20231228003829 |
| Provider Name | Millee Jean Parsons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033456439 PECOS PAC ID: 4284084211 Enrollment ID: I20240103000686 |
| Provider Name | Robert E Montgomery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861460388 PECOS PAC ID: 4082064019 Enrollment ID: I20240103000770 |
| Provider Name | Tracy L Bugglin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770221053 PECOS PAC ID: 1153771183 Enrollment ID: I20240103000860 |
| Provider Name | Daniel Edward Carpenetti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306183942 PECOS PAC ID: 6305297276 Enrollment ID: I20240105000320 |
| Provider Name | Laurie A Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356592869 PECOS PAC ID: 4880045095 Enrollment ID: I20240111002121 |
| Provider Name | Christi C Gallagher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326385147 PECOS PAC ID: 8921459124 Enrollment ID: I20240112000566 |
| Provider Name | Sherry I Coulter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316191737 PECOS PAC ID: 5890131106 Enrollment ID: I20240308002787 |
| Provider Name | Dorothy Ann James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801901244 PECOS PAC ID: 3577909894 Enrollment ID: I20240308002981 |
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