Global Wellness Center Llc | |
3350 Cleveland Ave Ste 1964 Columbus OH 43224-3677 | |
(614) 588-9830 | |
(614) 523-3388 |
Full Name | Global Wellness Center Llc |
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Speciality | Clinic/Center |
Location | 3350 Cleveland Ave Ste 1964, Columbus, Ohio |
Authorized Official Name and Position | Yassin Matan (PRESIDENT) |
Authorized Official Contact | 6145889830 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Global Wellness Center Llc 2525 Tiller Ln Ste 107 Columbus OH 43231-2267 Ph: (614) 588-9830 | Global Wellness Center Llc 3350 Cleveland Ave Ste 1964 Columbus OH 43224-3677 Ph: (614) 588-9830 |
NPI Number | 1215400924 |
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Provider Enumeration Date | 01/04/2019 |
Last Update Date | 02/01/2021 |
Certification Date | 02/01/2021 |
Medicare PECOS PAC ID | 9931436540 |
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Medicare Enrollment ID | O20190805003399 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215400924 | NPI | - | NPPES |
Provider Name | Jon W Fouts |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235691700 PECOS PAC ID: 9133115249 Enrollment ID: I20040423000434 |
Provider Name | Christina Ann Schiemann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912933847 PECOS PAC ID: 9830124031 Enrollment ID: I20050927000720 |
Provider Name | Abas Mohamed Jama |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073779492 PECOS PAC ID: 7618009036 Enrollment ID: I20100721000423 |
Provider Name | Cheryl Cook |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023228285 PECOS PAC ID: 5193978955 Enrollment ID: I20130228000516 |
Provider Name | Tarsicio G Gacheru |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164854295 PECOS PAC ID: 4880838655 Enrollment ID: I20130917000428 |
Provider Name | Tia Denise Carrington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982135943 PECOS PAC ID: 7618235300 Enrollment ID: I20180102000998 |
Provider Name | Tiffany S Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285145342 PECOS PAC ID: 6608124862 Enrollment ID: I20180803000467 |
Provider Name | Rachel Stile |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245726678 PECOS PAC ID: 5092042531 Enrollment ID: I20190807001041 |
Provider Name | Carey Gargano |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639726136 PECOS PAC ID: 4385973908 Enrollment ID: I20190906003114 |
Provider Name | Sheila Victoria Canini |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376783308 PECOS PAC ID: 9931522141 Enrollment ID: I20200707001273 |
Provider Name | Angela Tedford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700491081 PECOS PAC ID: 2466872247 Enrollment ID: I20201015003200 |
Provider Name | Kc Montoya |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194232652 PECOS PAC ID: 0244645984 Enrollment ID: I20210210003113 |
Provider Name | Kelsey Marie Musachio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720667660 PECOS PAC ID: 1355741539 Enrollment ID: I20210609001341 |
Provider Name | Sarah Sutton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316560170 PECOS PAC ID: 3779977368 Enrollment ID: I20220224001498 |
Provider Name | Ndematelen Ngwacha Asong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265616999 PECOS PAC ID: 4789064213 Enrollment ID: I20220630001204 |
Provider Name | Brendan Phillips |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366934994 PECOS PAC ID: 1355718040 Enrollment ID: I20221109002783 |
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