| Universal Practice Partners 007 Llc | |
|
1100 N Abbe Rd, Suite D, Elyria, OH 44035-1667 | |
| (440) 365-2502 | |
| Not Available |
| Full Name | Universal Practice Partners 007 Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1100 N Abbe Rd, Elyria, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285822403 | NPI | - | NPPES |
| DE0340 | Other | OH | RAILROAD MEDICARE |
| 2878748 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36002339 (Ohio) | Primary |
| Provider Name | Mark I Winters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124021910 PECOS PAC ID: 4880683473 Enrollment ID: I20050812000057 |
| Provider Name | Dewanda L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952651721 PECOS PAC ID: 0749430031 Enrollment ID: I20121023000067 |
| Provider Name | Shasta Mitchell-holston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881004901 PECOS PAC ID: 7214151067 Enrollment ID: I20150518002271 |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Practice Partners 007 Llc 6200 Pleasant Ave, Suite 3, Fairfield, OH 45014-4670 Ph: (513) 829-9333 | Universal Practice Partners 007 Llc 1100 N Abbe Rd, Suite D, Elyria, OH 44035-1667 Ph: (440) 365-2502 |
William J Scott Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 10325 Dewhurst Rd, Elyria, OH 44035 Phone: 440-973-8199 Fax: 513-858-7827 | |
Mark I Winters, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1100 N Abbe Rd, Ste D, Elyria, OH 44035 Phone: 440-365-2502 | |
M. Elaine Krosse, Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 860 E Broad St, Elyria, OH 44035 Phone: 440-322-4220 Fax: 440-322-4713 | |
Elyria Foot Clinic Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1170 E Broad St, Suite 104, Elyria, OH 44035 Phone: 440-366-6029 Fax: 440-366-6064 | |
Dr. Frederick Jay Prizant, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1100 N Abbe Rd, Suite D, Elyria, OH 44035 Phone: 440-365-2502 | |
Kimberly Nichelson Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 419-750-0041 |