| Aegis Health Services Llc | |
|
2220 Superior Via Cleveland OH 44113-2367 | |
| (888) 276-0207 | |
| (512) 488-9370 |
| Full Name | Aegis Health Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2220 Superior Via, Cleveland, Ohio |
| Authorized Official Name and Position | Noah Hanson (CEO) |
| Authorized Official Contact | 4048058093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Health Services Llc 2060 Enterprise Rd Madison GA 30650-5621 Ph: (410) 834-8110 | Aegis Health Services Llc 2220 Superior Via Cleveland OH 44113-2367 Ph: (888) 276-0207 |
| NPI Number | 1184257123 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 8123459484 |
|---|---|
| Medicare Enrollment ID | O20200520003595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184257123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John F Dombrowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154329126 PECOS PAC ID: 0446240139 Enrollment ID: I20040514000615 |
| Provider Name | Michael J Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346417086 PECOS PAC ID: 4688729858 Enrollment ID: I20220516001300 |
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