| Harbor | |
|
3909 Woodley Rd Toledo OH 43606-1169 | |
| (419) 725-3330 | |
| Not Available |
| Full Name | Harbor |
|---|---|
| Speciality | Clinic/Center |
| Location | 3909 Woodley Rd, Toledo, Ohio |
| Authorized Official Name and Position | Dustin Watkins (PRESIDENT/CEO) |
| Authorized Official Contact | 5673430947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor 3909 Woodley Rd Toledo OH 43606-1169 Ph: () - | Harbor 3909 Woodley Rd Toledo OH 43606-1169 Ph: (419) 725-3330 |
| NPI Number | 1366526782 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 8325931181 |
|---|---|
| Medicare Enrollment ID | O20040205000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366526782 | NPI | - | NPPES |
| 01927 | Other | PARAMOUNT HEALTH CARE | |
| 110754-000 | Other | MAGELLAN | |
| 611706700 | Other | DOL FECA | |
| 060172 | Other | VALUE OPTIONS | |
| 2341639 | Medicaid | OH | |
| 3126 | Medicaid | OH |
| Provider Name | Larry W Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932183043 PECOS PAC ID: 3577469931 Enrollment ID: I20031209000538 |
| Provider Name | Colleen Y Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437147253 PECOS PAC ID: 8426946567 Enrollment ID: I20040309001072 |
| Provider Name | Asim Ashraf Farooqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134290471 PECOS PAC ID: 8820077308 Enrollment ID: I20040717000417 |
| Provider Name | Christine Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316947591 PECOS PAC ID: 7315910239 Enrollment ID: I20040818000199 |
| Provider Name | Farzana Nasir Tausif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174529861 PECOS PAC ID: 3971576059 Enrollment ID: I20040914000707 |
| Provider Name | Kristy Keaton-baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730161290 PECOS PAC ID: 1254376221 Enrollment ID: I20050621001050 |
| Provider Name | Tanvir Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851322168 PECOS PAC ID: 3870597156 Enrollment ID: I20060828000489 |
| Provider Name | Dorota S Rytwinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003960428 PECOS PAC ID: 4587666482 Enrollment ID: I20070206000385 |
| Provider Name | Jayasree Nandagopal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215072301 PECOS PAC ID: 5496840209 Enrollment ID: I20071008000589 |
| Provider Name | Janice K Bohmler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801009998 PECOS PAC ID: 6901994847 Enrollment ID: I20071112000011 |
| Provider Name | Bushra Haneef Qureishi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396969416 PECOS PAC ID: 9537251087 Enrollment ID: I20090608000449 |
| Provider Name | Irfan Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740409333 PECOS PAC ID: 2668528944 Enrollment ID: I20090929000358 |
| Provider Name | Anne M Mallett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083809271 PECOS PAC ID: 8022149897 Enrollment ID: I20100623000850 |
| Provider Name | Ahmed Janjua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912162728 PECOS PAC ID: 8123159126 Enrollment ID: I20100707000435 |
| Provider Name | Olivia L Leverich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780828830 PECOS PAC ID: 9537344437 Enrollment ID: I20110419000362 |
| Provider Name | David G Zick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366480576 PECOS PAC ID: 8325016322 Enrollment ID: I20111028000465 |
| Provider Name | Nathaniel W Johns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942265947 PECOS PAC ID: 5799941530 Enrollment ID: I20120724000412 |
| Provider Name | Marlene J Fannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346488921 PECOS PAC ID: 5193975449 Enrollment ID: I20121022000555 |
| Provider Name | Amy B Clark |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194074567 PECOS PAC ID: 5395996516 Enrollment ID: I20121117000071 |
| Provider Name | Kellie M Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477807543 PECOS PAC ID: 5294987756 Enrollment ID: I20121207000085 |
| Provider Name | Cynthia R Hites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588095566 PECOS PAC ID: 2668604844 Enrollment ID: I20140423000417 |
| Provider Name | Karen C Fritts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003035346 PECOS PAC ID: 2567688898 Enrollment ID: I20140723000870 |
| Provider Name | Madeline A Macdonald |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801208962 PECOS PAC ID: 3870713258 Enrollment ID: I20141007001462 |
| Provider Name | Colleen C Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023498623 PECOS PAC ID: 5294040424 Enrollment ID: I20150818004557 |
| Provider Name | Keri Kiefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184978371 PECOS PAC ID: 4789987546 Enrollment ID: I20160128001161 |
| Provider Name | Danielle R Delong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003137068 PECOS PAC ID: 5193021400 Enrollment ID: I20160314000870 |
| Provider Name | Laura M Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578923298 PECOS PAC ID: 3072803899 Enrollment ID: I20160607002612 |
| Provider Name | Alexis Hight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578886628 PECOS PAC ID: 4183748262 Enrollment ID: I20161004002226 |
| Provider Name | Kelly Genene Routhier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336506013 PECOS PAC ID: 0345529848 Enrollment ID: I20161123001411 |
| Provider Name | William C Barron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336687649 PECOS PAC ID: 6507141041 Enrollment ID: I20170323000724 |
| Provider Name | Julie A Leatherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639580160 PECOS PAC ID: 7517242076 Enrollment ID: I20170323001681 |
| Provider Name | Allison M Keefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669753018 PECOS PAC ID: 8820374416 Enrollment ID: I20170413002343 |
| Provider Name | Patricia G Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528055944 PECOS PAC ID: 8820374176 Enrollment ID: I20170420002656 |
| Provider Name | Frank R Stump |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346565686 PECOS PAC ID: 2466756325 Enrollment ID: I20170510002070 |
| Provider Name | Ted B Hunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710298591 PECOS PAC ID: 2365710555 Enrollment ID: I20170612001474 |
| Provider Name | Nicholas A Tucholski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497152300 PECOS PAC ID: 1456629641 Enrollment ID: I20170628001432 |
| Provider Name | Darla Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457729402 PECOS PAC ID: 0446560429 Enrollment ID: I20170714001913 |
| Provider Name | Drake R Steed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942748967 PECOS PAC ID: 6800166778 Enrollment ID: I20170726000151 |
| Provider Name | Valerie Moyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477613651 PECOS PAC ID: 9335281526 Enrollment ID: I20170817004273 |
| Provider Name | Andrea Dietsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427452820 PECOS PAC ID: 0648542902 Enrollment ID: I20170821002826 |
| Provider Name | Sheena Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205357183 PECOS PAC ID: 0547532566 Enrollment ID: I20170824003042 |
| Provider Name | Fazila Siddiqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245363803 PECOS PAC ID: 4385630102 Enrollment ID: I20170908001431 |
| Provider Name | Daniel Lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225587090 PECOS PAC ID: 0042585556 Enrollment ID: I20171010001594 |
| Provider Name | Shana Rutkowski Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417298084 PECOS PAC ID: 6507183449 Enrollment ID: I20171025002061 |
| Provider Name | Kylie Wester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740633221 PECOS PAC ID: 8224316492 Enrollment ID: I20171114001327 |
| Provider Name | David W Jahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508802224 PECOS PAC ID: 0446448179 Enrollment ID: I20171117002127 |
| Provider Name | Lisa M Mascioli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639627375 PECOS PAC ID: 8325304785 Enrollment ID: I20171117002224 |
| Provider Name | Aaron Hayden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922097120 PECOS PAC ID: 0941334056 Enrollment ID: I20171120001388 |
| Provider Name | Dinni Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386805471 PECOS PAC ID: 7012276777 Enrollment ID: I20180125002604 |
| Provider Name | Andrea Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346615143 PECOS PAC ID: 6608137260 Enrollment ID: I20180223000770 |
| Provider Name | Rachel Daley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982111233 PECOS PAC ID: 7719249168 Enrollment ID: I20180322001205 |
| Provider Name | Precious Branae Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859506 PECOS PAC ID: 4284913997 Enrollment ID: I20180406000758 |
| Provider Name | Sandy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972040004 PECOS PAC ID: 2668757642 Enrollment ID: I20180626002325 |
| Provider Name | Amy Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265830392 PECOS PAC ID: 6709135486 Enrollment ID: I20180814003673 |
| Provider Name | Christine D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194201020 PECOS PAC ID: 6103177811 Enrollment ID: I20180919002179 |
| Provider Name | Jasmine Marie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417201450 PECOS PAC ID: 6305088329 Enrollment ID: I20180926003936 |
| Provider Name | Jessica M Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730669631 PECOS PAC ID: 6507118734 Enrollment ID: I20181016002234 |
| Provider Name | Ashley Leann Kinor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750790424 PECOS PAC ID: 2365795556 Enrollment ID: I20181106001341 |
| Provider Name | Nathan Allan Braden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396231247 PECOS PAC ID: 4082958277 Enrollment ID: I20181128002317 |
| Provider Name | Joshua Raymond Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962955138 PECOS PAC ID: 0941548127 Enrollment ID: I20190213002315 |
| Provider Name | Randy Lee Clements |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932414117 PECOS PAC ID: 6305189051 Enrollment ID: I20190520002842 |
| Provider Name | Stephanie C. Doran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003349911 PECOS PAC ID: 6103159801 Enrollment ID: I20190612001770 |
| Provider Name | Brittany M Coffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952779639 PECOS PAC ID: 3971812447 Enrollment ID: I20190624003481 |
| Provider Name | Kristin M Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073010963 PECOS PAC ID: 8729315064 Enrollment ID: I20190809001278 |
| Provider Name | Laura S Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639739212 PECOS PAC ID: 5496085482 Enrollment ID: I20190917003415 |
| Provider Name | Alexandra Rose Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043879570 PECOS PAC ID: 9537490768 Enrollment ID: I20191018001579 |
| Provider Name | Latanya Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396140372 PECOS PAC ID: 0143564658 Enrollment ID: I20191119001472 |
| Provider Name | Jacalyn M Laeng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134640170 PECOS PAC ID: 5496180648 Enrollment ID: I20200115002349 |
| Provider Name | Michelle Blue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952953937 PECOS PAC ID: 6103252705 Enrollment ID: I20200130000101 |
| Provider Name | Mary Wesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457896946 PECOS PAC ID: 2466880935 Enrollment ID: I20200316001290 |
| Provider Name | Amy R Mossing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316483381 PECOS PAC ID: 2062843345 Enrollment ID: I20200521000604 |
| Provider Name | Kadori Ngirabakunzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649882200 PECOS PAC ID: 7517387285 Enrollment ID: I20201019001400 |
| Provider Name | Amanda C Chagolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184237885 PECOS PAC ID: 9537589023 Enrollment ID: I20201022001782 |
| Provider Name | Kelly Severhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245657410 PECOS PAC ID: 9436560802 Enrollment ID: I20201117000634 |
| Provider Name | Jehan Helmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497986285 PECOS PAC ID: 7719210517 Enrollment ID: I20210112001565 |
| Provider Name | Begum Gocmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659972677 PECOS PAC ID: 3971917378 Enrollment ID: I20210126002464 |
| Provider Name | Edith Ncapsah Asah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144539362 PECOS PAC ID: 6709291073 Enrollment ID: I20210218001559 |
| Provider Name | Katherine Gail Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548803331 PECOS PAC ID: 1759797194 Enrollment ID: I20210309001836 |
| Provider Name | Shanna Burgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821673252 PECOS PAC ID: 8628485091 Enrollment ID: I20210331001637 |
| Provider Name | Gloria Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871081257 PECOS PAC ID: 3476960733 Enrollment ID: I20210402000145 |
| Provider Name | Brooke Marie Palicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538520317 PECOS PAC ID: 8921402058 Enrollment ID: I20210811001192 |
| Provider Name | Anne Elizabeth Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578130779 PECOS PAC ID: 0840695474 Enrollment ID: I20210819003971 |
| Provider Name | Bronwyn E Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275126369 PECOS PAC ID: 1153726369 Enrollment ID: I20210826001865 |
| Provider Name | Araceli Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316583479 PECOS PAC ID: 3779918628 Enrollment ID: I20210923003758 |
| Provider Name | Jacqueline Marie Veler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962751958 PECOS PAC ID: 8628476199 Enrollment ID: I20211013003324 |
| Provider Name | Kimberly Drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407508468 PECOS PAC ID: 5092108365 Enrollment ID: I20220209000687 |
| Provider Name | Clare Jane Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437654498 PECOS PAC ID: 7618360868 Enrollment ID: I20220210001039 |
| Provider Name | Theresa Marie Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235700881 PECOS PAC ID: 3779974415 Enrollment ID: I20220427000553 |
| Provider Name | Bayan Tayseer Al-hurani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598260689 PECOS PAC ID: 8921485822 Enrollment ID: I20220516000604 |
| Provider Name | Juanita Pettaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518338748 PECOS PAC ID: 2860879780 Enrollment ID: I20220516001377 |
| Provider Name | Sara Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699381368 PECOS PAC ID: 2062899867 Enrollment ID: I20220517002120 |
| Provider Name | Stacey Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679004576 PECOS PAC ID: 1153701578 Enrollment ID: I20220701001441 |
| Provider Name | Melissa Mulinix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245953363 PECOS PAC ID: 5799155180 Enrollment ID: I20221229000834 |
| Provider Name | Sarah Stadtmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205560828 PECOS PAC ID: 6608247127 Enrollment ID: I20230120000899 |
| Provider Name | Catherine Guinup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073225819 PECOS PAC ID: 1153793237 Enrollment ID: I20230220000509 |
| Provider Name | Reyna S Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114621307 PECOS PAC ID: 8628434628 Enrollment ID: I20230517002256 |
| Provider Name | Aaron Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932822053 PECOS PAC ID: 4284091794 Enrollment ID: I20230526001264 |
| Provider Name | Angela Jean Napierala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952017352 PECOS PAC ID: 7012374259 Enrollment ID: I20230605000445 |
| Provider Name | Heather Cumbo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063668077 PECOS PAC ID: 1153649124 Enrollment ID: I20230615001191 |
Larry E Hamme Ph.d Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Monroe St, Toledo, OH 43606 Phone: 419-472-7330 Fax: 419-472-8675 | |
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Water Blue Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3443 146th St, Toledo, OH 43611 Phone: 419-217-2122 | |
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