| Apex Diagnostics-w Penn | |
|
2614 Memorial Blvd Ste A Connellsville PA 15425-1405 | |
| (410) 808-0248 | |
| Not Available |
| Full Name | Apex Diagnostics-w Penn |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2614 Memorial Blvd Ste A, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Brian Seymore (OWNER) |
| Authorized Official Contact | 4108080248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Diagnostics-w Penn 1728 Shakespeare Dr Bel Air MD 21015-1558 Ph: () - | Apex Diagnostics-w Penn 2614 Memorial Blvd Ste A Connellsville PA 15425-1405 Ph: (410) 808-0248 |
| NPI Number | 1164114682 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Medicare PECOS PAC ID | 9739541475 |
|---|---|
| Medicare Enrollment ID | O20240403002449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164114682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Suhas Badarinath |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1821133323 PECOS PAC ID: 7214008804 Enrollment ID: I20170128000176 |
| Provider Name | Wayne Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750486858 PECOS PAC ID: 5597852434 Enrollment ID: I20200824002456 |
| Provider Name | Theresa Chambers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780865808 PECOS PAC ID: 7618057688 Enrollment ID: I20240503002969 |
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