Doug Sposetta, | |
1450 S Canfield Niles Rd, Austintown, OH 44515-4085 | |
(330) 799-8752 | |
(330) 799-8754 |
Full Name | Doug Sposetta |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1450 S Canfield Niles Rd, Austintown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598131237 | NPI | - | NPPES |
17880-NP | Other | OH | OHIO BOARD OF NURSING CREDENTIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.17880-NP (Ohio) | Primary |
Entity Name | Community Medical Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184761405 PECOS PAC ID: 3274501036 Enrollment ID: O20040920000637 |
Mailing Address | Practice Location Address |
---|---|
Doug Sposetta, 1450 S Canfield Niles Rd, Austintown, OH 44515-4085 Ph: (330) 799-8752 | Doug Sposetta, 1450 S Canfield Niles Rd, Austintown, OH 44515-4085 Ph: (330) 799-8752 |
Mrs. Melanie Marie Klockner, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5480 Norquest Blvd, Austintown, OH 44515 Phone: 330-779-0529 | |
Mr. Joshua Steven Mcgaffic, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5760 Patriot Blvd # C, Austintown, OH 44515 Phone: 330-270-8610 | |
Ms. Kimberly A Tindell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Drive, Austintown, OH 44515 Phone: 330-610-6476 | |
Mrs. Shallon Tennille Johnson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Blvd, Austintown, OH 44515 Phone: 330-953-0243 Fax: 330-313-3404 | |
Mr. Daniel Lee Ludwig Jr., NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Ohltown Rd, Austintown, OH 44515 Phone: 330-884-1504 | |
Mellisa Ann Brown, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Blvd, Austintown, OH 44515 Phone: 330-270-8610 | |
Ryan Matthew Costlow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5605 Madrid Dr, Austintown, OH 44515 Phone: 330-518-2902 |