Cody Ray Elam, CNP | |
272 Hospital Rd, Chillicothe, OH 45601-9031 | |
(740) 779-7500 | |
Not Available |
Full Name | Cody Ray Elam |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 272 Hospital Rd, Chillicothe, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518319912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.19218-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fayette County Memorial Hospital | Washington ch, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osup Community Outreach Llc | 5799008082 | 130 |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Entity Name | Osup Community Outreach Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
Mailing Address | Practice Location Address |
---|---|
Cody Ray Elam, CNP 34700 Us Highway 50, Londonderry, OH 45647-9770 Ph: (740) 701-3954 | Cody Ray Elam, CNP 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-7500 |
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