| Southwestern Recovery Center, Llc | |
|
2350 Briggs Rd Columbus OH 43223-3218 | |
| (614) 594-2141 | |
| Not Available |
| Full Name | Southwestern Recovery Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2350 Briggs Rd, Columbus, Ohio |
| Authorized Official Name and Position | Brian Dean (ADMINISTRATOR) |
| Authorized Official Contact | 6147065206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Recovery Center, Llc 2350 Briggs Rd Columbus OH 43223-3218 Ph: () - | Southwestern Recovery Center, Llc 2350 Briggs Rd Columbus OH 43223-3218 Ph: (614) 594-2141 |
| NPI Number | 1295241933 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 5294095956 |
|---|---|
| Medicare Enrollment ID | O20180129001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295241933 | NPI | - | NPPES |
| Provider Name | David P Keseg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679530307 PECOS PAC ID: 0840194809 Enrollment ID: I20040122000278 |
| Provider Name | Anthony R Derrico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609886993 PECOS PAC ID: 7911892179 Enrollment ID: I20040217000488 |
| Provider Name | Vernon D Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174600852 PECOS PAC ID: 6406744655 Enrollment ID: I20040309000436 |
| Provider Name | Angel L Villanueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255370714 PECOS PAC ID: 4284620527 Enrollment ID: I20040422000855 |
| Provider Name | Richard S Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811945801 PECOS PAC ID: 5698747988 Enrollment ID: I20040807000301 |
| Provider Name | Lata Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881654945 PECOS PAC ID: 3375588098 Enrollment ID: I20080208000288 |
| Provider Name | Letisha E Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063656239 PECOS PAC ID: 0648316067 Enrollment ID: I20091014000820 |
| Provider Name | Jennifer L Datta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083676969 PECOS PAC ID: 1254315971 Enrollment ID: I20110119000713 |
| Provider Name | Wayne Cummings |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1902832868 PECOS PAC ID: 6002198009 Enrollment ID: I20170127001143 |
| Provider Name | Giti L Mayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619406964 PECOS PAC ID: 1658647391 Enrollment ID: I20171025001366 |
| Provider Name | Kevin J Donlon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316209018 PECOS PAC ID: 5193966646 Enrollment ID: I20181009001425 |
| Provider Name | Amy R Mccaul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982168944 PECOS PAC ID: 0143641035 Enrollment ID: I20200601002971 |
| Provider Name | Ashley Dee White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457817975 PECOS PAC ID: 4981003118 Enrollment ID: I20210520001490 |
Psychiatry Providers At East Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5965 E Broad St, Suite 370, Columbus, OH 43213 Phone: 614-866-5555 | |
Applied Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Snouffer Rd, Columbus, OH 43235 Phone: 614-984-3740 | |
Next Step Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6161 Busch Blvd Ste 290, Columbus, OH 43229 Phone: 614-987-5003 Fax: 614-987-5167 | |
Gracehaven Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Arlington Centre Blvd # 9b, Columbus, OH 43220 Phone: 614-665-0665 | |
Beyond The Storm Counseling And Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3493 Bigby Hollow Ct, Columbus, OH 43228 Phone: 614-975-7899 | |
Gerlach, Lear & Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Chatham Ln, Suite 103, Columbus, OH 43221 Phone: 614-451-9401 Fax: 614-451-8113 | |
Steven S. Schwartz, Ph.d. & Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7650 Rivers Edge Dr, Suite 140, Columbus, OH 43235 Phone: 614-841-1101 Fax: 614-841-1957 |