Mr Jeremiah M Noggle, CNP | |
315 Struthers Liberty Rd, Campbell, OH 44405-1973 | |
(330) 750-1333 | |
(330) 750-0203 |
Full Name | Mr Jeremiah M Noggle |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 315 Struthers Liberty Rd, Campbell, 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 |
---|---|---|---|
1669755005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.12575-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triad Health Services Llc | 9032367917 | 191 |
Entity Name | Healthridge Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497717664 PECOS PAC ID: 7416908678 Enrollment ID: O20050204000136 |
Entity Name | Triad Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremiah M Noggle, CNP 315 Struthers Liberty Rd, Campbell, OH 44405-1973 Ph: (330) 750-1333 | Mr Jeremiah M Noggle, CNP 315 Struthers Liberty Rd, Campbell, OH 44405-1973 Ph: (330) 750-1333 |
Wanda Lee Cassavettes, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Pin Oak Pl, Campbell, OH 44405 Phone: 330-518-3174 | |
Shannon Nicole Mitchell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 295 Park Dr, Campbell, OH 44405 Phone: 330-951-5058 |