| Talbot Clinical Services Of Ohio Llc | |
|
732 Main St Toledo OH 43605-2397 | |
| (833) 762-1013 | |
| Not Available |
| Full Name | Talbot Clinical Services Of Ohio Llc |
|---|---|
| Speciality | Counselor |
| Location | 732 Main St, Toledo, Ohio |
| Authorized Official Name and Position | Katie Wieber (CEO) |
| Authorized Official Contact | 5673431966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talbot Clinical Services Of Ohio Llc 732 Main St Toledo OH 43605-2397 Ph: (419) 509-7422 | Talbot Clinical Services Of Ohio Llc 732 Main St Toledo OH 43605-2397 Ph: (833) 762-1013 |
| NPI Number | 1245635549 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 9032422860 |
|---|---|
| Medicare Enrollment ID | O20150722004310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245635549 | NPI | - | NPPES |
| 0208677 | Medicaid | OH |
| Provider Name | Douglas M Hoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437139755 PECOS PAC ID: 9931003746 Enrollment ID: I20031126000378 |
| Provider Name | Kevin S Kendzierski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629053681 PECOS PAC ID: 9739142837 Enrollment ID: I20041110000010 |
| Provider Name | Steven B Dood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730140203 PECOS PAC ID: 5294779914 Enrollment ID: I20050614000727 |
| Provider Name | David L Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972501971 PECOS PAC ID: 8224019856 Enrollment ID: I20080717000426 |
| Provider Name | Robert R Daiber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922147818 PECOS PAC ID: 2062567878 Enrollment ID: I20100120000195 |
| Provider Name | Matthew Rizzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295976363 PECOS PAC ID: 3476705757 Enrollment ID: I20130107000005 |
| Provider Name | Stephanie L Strausbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871934372 PECOS PAC ID: 5991948101 Enrollment ID: I20130906000349 |
| Provider Name | Dawn Bova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558774604 PECOS PAC ID: 4789805177 Enrollment ID: I20141028003082 |
| Provider Name | Pamela Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487129243 PECOS PAC ID: 2860745445 Enrollment ID: I20181029002134 |
| Provider Name | Deanna E Depugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158441 PECOS PAC ID: 0446587604 Enrollment ID: I20190809002088 |
| Provider Name | Tracey A Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679173785 PECOS PAC ID: 2466865498 Enrollment ID: I20210111002824 |
| Provider Name | Kashmere Lynnette Cooper-pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013588086 PECOS PAC ID: 2163810607 Enrollment ID: I20211102002045 |
| Provider Name | Katie Wieber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609323542 PECOS PAC ID: 9638563224 Enrollment ID: I20220224001268 |
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