Levey Innovative Therapeutics, Llc | |
8000 Ravines Edge Ct Ste 200 Columbus OH 43235-5422 | |
(614) 736-0230 | |
Not Available |
Full Name | Levey Innovative Therapeutics, Llc |
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Speciality | Psychiatry & Neurology |
Location | 8000 Ravines Edge Ct Ste 200, Columbus, Ohio |
Authorized Official Name and Position | Aaron Boster (OWNER) |
Authorized Official Contact | 6143043444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Levey Innovative Therapeutics, Llc 8000 Ravines Edge Ct Ste 200 Columbus OH 43235-5422 Ph: (614) 304-3444 | Levey Innovative Therapeutics, Llc 8000 Ravines Edge Ct Ste 200 Columbus OH 43235-5422 Ph: (614) 736-0230 |
NPI Number | 1801439310 |
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Provider Enumeration Date | 10/28/2019 |
Last Update Date | 09/22/2023 |
Certification Date | 09/22/2023 |
Medicare PECOS PAC ID | 0446687826 |
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Medicare Enrollment ID | O20200225000190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801439310 | NPI | - | NPPES |
2917035 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Aaron L Boster |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1760641740 PECOS PAC ID: 6507933710 Enrollment ID: I20080930000065 |
Provider Name | Meredith L Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710295225 PECOS PAC ID: 0840483582 Enrollment ID: I20101026000609 |
Provider Name | Valerie Dawn Gregory |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275007213 PECOS PAC ID: 8820321433 Enrollment ID: I20190613003180 |
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