| Anodyne Pain & Wellness Solutions Of Central Ohio | |
|
193 W Schrock Rd Westerville OH 43081-2890 | |
| (614) 420-1012 | |
| Not Available |
| Full Name | Anodyne Pain & Wellness Solutions Of Central Ohio |
|---|---|
| Speciality | Family Medicine |
| Location | 193 W Schrock Rd, Westerville, Ohio |
| Authorized Official Name and Position | Sean Hugh Mckibben (PRESIDENT & OWNER) |
| Authorized Official Contact | 6144201012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anodyne Pain & Wellness Solutions Of Central Ohio 7947 Tartan Fields Dr Dublin OH 43017-8778 Ph: (614) 420-1012 | Anodyne Pain & Wellness Solutions Of Central Ohio 193 W Schrock Rd Westerville OH 43081-2890 Ph: (614) 420-1012 |
| NPI Number | 1013689132 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 5698167310 |
|---|---|
| Medicare Enrollment ID | O20220110000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013689132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mario Oreste Brunicardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245270552 PECOS PAC ID: 7719167451 Enrollment ID: I20110211000640 |
| Provider Name | Nicholas A Southworth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538421672 PECOS PAC ID: 4688807266 Enrollment ID: I20140506001461 |
| Provider Name | Justin Mahida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245520030 PECOS PAC ID: 7315247707 Enrollment ID: I20170802003762 |
| Provider Name | Brandi Michelle Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346531977 PECOS PAC ID: 1355603184 Enrollment ID: I20180315000064 |
| Provider Name | Mary K Hoobler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265050553 PECOS PAC ID: 1557786944 Enrollment ID: I20200731002530 |
| Provider Name | Sara Nicole Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932744208 PECOS PAC ID: 7012327919 Enrollment ID: I20201104001669 |
| Provider Name | Eve Ciacciarelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073941779 PECOS PAC ID: 2163884909 Enrollment ID: I20230810004337 |
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