| Neurology And Headache Clinics Of Nw Ohio | |
|
3020 Mccord Rd Suite 102 Toledo OH 43615 | |
| (419) 517-1110 | |
| (419) 517-1109 |
| Full Name | Neurology And Headache Clinics Of Nw Ohio |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3020 Mccord Rd, Toledo, Ohio |
| Authorized Official Name and Position | Faizan Hafeez (PRESIDENT) |
| Authorized Official Contact | 4195171110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Headache Clinics Of Nw Ohio 3020 Mccord Rd Suite 102 Toledo OH 43615 Ph: (419) 517-1110 | Neurology And Headache Clinics Of Nw Ohio 3020 Mccord Rd Suite 102 Toledo OH 43615 Ph: (419) 517-1110 |
| NPI Number | 1346411915 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 10/12/2009 |
| Medicare PECOS PAC ID | 2062585722 |
|---|---|
| Medicare Enrollment ID | O20080715000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346411915 | NPI | - | NPPES |
| 2844971 | Medicaid | OH | |
| DN3454 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35075748 (Ohio) | Primary |
| Provider Name | Christine A Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457347528 PECOS PAC ID: 6901794114 Enrollment ID: I20040309000844 |
| Provider Name | Kay L Grothaus |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447225958 PECOS PAC ID: 1052366945 Enrollment ID: I20050314000654 |
| Provider Name | Faizan Hafeez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386630432 PECOS PAC ID: 7911924519 Enrollment ID: I20051101001119 |
| Provider Name | Kirt Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230124 PECOS PAC ID: 3173875952 Enrollment ID: I20181004002825 |
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