| Ryan O'connell Md Llc | |
|
4447 Talmadge Rd Ste C Toledo OH 43623-3517 | |
| (419) 475-7007 | |
| Not Available |
| Full Name | Ryan O'connell Md Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4447 Talmadge Rd Ste C, Toledo, Ohio |
| Authorized Official Name and Position | Ryan Joseph O'connell (OWNER/PRACTITIONER) |
| Authorized Official Contact | 4194757007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan O'connell Md Llc 4447 Talmadge Rd Ste C Toledo OH 43623-3517 Ph: (419) 475-7007 | Ryan O'connell Md Llc 4447 Talmadge Rd Ste C Toledo OH 43623-3517 Ph: (419) 475-7007 |
| NPI Number | 1689362808 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Medicare PECOS PAC ID | 4183081110 |
|---|---|
| Medicare Enrollment ID | O20230607001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689362808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ryan Joseph O'connell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831652353 PECOS PAC ID: 7012341084 Enrollment ID: I20221010000447 |
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