| Athens Medical Associates, Llc | |
|
75 Hospital Dr Suite 380 Athens OH 45701-2857 | |
| (740) 566-4644 | |
| (740) 566-4625 |
| Full Name | Athens Medical Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 75 Hospital Dr, Athens, Ohio |
| Authorized Official Name and Position | Mark T Rothstein (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7405664644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Medical Associates, Llc 5450 Frantz Rd Ste 360 Dublin OH 43016-4141 Ph: (614) 544-6161 | Athens Medical Associates, Llc 75 Hospital Dr Suite 380 Athens OH 45701-2857 Ph: (740) 566-4644 |
| NPI Number | 1982714358 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/30/2019 |
| Medicare PECOS PAC ID | 9537112685 |
|---|---|
| Medicare Enrollment ID | O20050301000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982714358 | NPI | - | NPPES |
| 2533735 | Medicaid | OH |
| Provider Name | Chaoyang Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376589515 PECOS PAC ID: 9739093477 Enrollment ID: I20031119000099 |
| Provider Name | Anil S Gokhale |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740353879 PECOS PAC ID: 0244136554 Enrollment ID: I20031209000205 |
| Provider Name | David D Howell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154413557 PECOS PAC ID: 2769389659 Enrollment ID: I20031218000065 |
| Provider Name | Jane Ellery Broecker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548360852 PECOS PAC ID: 3779481122 Enrollment ID: I20031223000318 |
| Provider Name | Mark E Knable |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518954387 PECOS PAC ID: 5092616003 Enrollment ID: I20040114000103 |
| Provider Name | Mark N Rakowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053387910 PECOS PAC ID: 2466354873 Enrollment ID: I20040126000416 |
| Provider Name | Michael Alan Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871511873 PECOS PAC ID: 1557254117 Enrollment ID: I20040206000128 |
| Provider Name | Neal J Nesbitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710942594 PECOS PAC ID: 7810886629 Enrollment ID: I20040318000979 |
| Provider Name | Farzin Foruhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942249594 PECOS PAC ID: 0941192512 Enrollment ID: I20040327000440 |
| Provider Name | Fatuma Nabuti Midamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982674602 PECOS PAC ID: 3274525134 Enrollment ID: I20040331001114 |
| Provider Name | Michael J Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275633513 PECOS PAC ID: 1254239692 Enrollment ID: I20040512000252 |
| Provider Name | Jack M Ramey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407957996 PECOS PAC ID: 9537067970 Enrollment ID: I20040512000360 |
| Provider Name | Pamela Ross Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760471288 PECOS PAC ID: 0244221810 Enrollment ID: I20040521000587 |
| Provider Name | Laura Lynn Hocter Ousley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165608 PECOS PAC ID: 0042292328 Enrollment ID: I20040601001463 |
| Provider Name | Cornelia Michelle Kacir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699884452 PECOS PAC ID: 6709862410 Enrollment ID: I20040624001334 |
| Provider Name | Shakir Sarwar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609827989 PECOS PAC ID: 4981674769 Enrollment ID: I20040728001746 |
| Provider Name | Timothy J Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235109828 PECOS PAC ID: 5294705703 Enrollment ID: I20040730000254 |
| Provider Name | Lance Broy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588616494 PECOS PAC ID: 5597724880 Enrollment ID: I20041004000213 |
| Provider Name | Bradley Alan Bryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467432658 PECOS PAC ID: 7416919972 Enrollment ID: I20041028000105 |
| Provider Name | Robert Kloos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912950197 PECOS PAC ID: 9436111564 Enrollment ID: I20041101000979 |
| Provider Name | Mark Terry Rothstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932102985 PECOS PAC ID: 0840253126 Enrollment ID: I20041108000814 |
| Provider Name | Earl L Driggs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033109418 PECOS PAC ID: 3678524824 Enrollment ID: I20050204000064 |
| Provider Name | Umamahesh Yellamraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982607925 PECOS PAC ID: 3274571963 Enrollment ID: I20050422000393 |
| Provider Name | Jeanne Lange Ashworth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720065576 PECOS PAC ID: 4981590965 Enrollment ID: I20050425000410 |
| Provider Name | David Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346218096 PECOS PAC ID: 5496796179 Enrollment ID: I20050512001097 |
| Provider Name | Margaret Anne Tonkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467552315 PECOS PAC ID: 3577508506 Enrollment ID: I20050621000717 |
| Provider Name | Melinda Eileen Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073508354 PECOS PAC ID: 3375579824 Enrollment ID: I20050715000242 |
| Provider Name | Wilbur Edward Sever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780603282 PECOS PAC ID: 1052344264 Enrollment ID: I20050916000643 |
| Provider Name | James E Foglesong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689694879 PECOS PAC ID: 3476579095 Enrollment ID: I20051021000659 |
| Provider Name | Karen R Bailey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386709996 PECOS PAC ID: 0345204798 Enrollment ID: I20051027000044 |
| Provider Name | Lori Lee Woolison Rutter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689605255 PECOS PAC ID: 5395758890 Enrollment ID: I20060731000291 |
| Provider Name | Marjorie Devol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942267125 PECOS PAC ID: 5991702995 Enrollment ID: I20061106000306 |
| Provider Name | Beverly Anne Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104926369 PECOS PAC ID: 2567460538 Enrollment ID: I20061129000542 |
| Provider Name | Jeffrey L Bevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700992898 PECOS PAC ID: 1951300136 Enrollment ID: I20061218000001 |
| Provider Name | Thomas M Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003858234 PECOS PAC ID: 5991704942 Enrollment ID: I20061220000415 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Jacqueline L. Heiser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962459941 PECOS PAC ID: 8426019779 Enrollment ID: I20070727000672 |
| Provider Name | Christopher Meyer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1841238094 PECOS PAC ID: 2264416924 Enrollment ID: I20070801000503 |
| Provider Name | Loretta J Scism |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336346865 PECOS PAC ID: 9032200423 Enrollment ID: I20070814000892 |
| Provider Name | Yunpeng Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083732523 PECOS PAC ID: 9032201413 Enrollment ID: I20070815000885 |
| Provider Name | James E Sammons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134150097 PECOS PAC ID: 3476645045 Enrollment ID: I20070828000092 |
| Provider Name | Gregory S Mangen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386856581 PECOS PAC ID: 9931293321 Enrollment ID: I20070917000036 |
| Provider Name | Jen-tzer Gau |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790757268 PECOS PAC ID: 5395734370 Enrollment ID: I20070919000034 |
| Provider Name | Douglas D Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982632022 PECOS PAC ID: 8123113727 Enrollment ID: I20070927000373 |
| Provider Name | Geetha Conjeevaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316940364 PECOS PAC ID: 7618064452 Enrollment ID: I20071026000155 |
| Provider Name | Bela Bhatt Koshal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487628954 PECOS PAC ID: 4880781509 Enrollment ID: I20071029000066 |
| Provider Name | Katherine J Kropf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669578837 PECOS PAC ID: 5092813188 Enrollment ID: I20080506000264 |
| Provider Name | Karen A Montgomery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952373052 PECOS PAC ID: 4688690191 Enrollment ID: I20080630000130 |
| Provider Name | Kathleen Bertuna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770784613 PECOS PAC ID: 6305912551 Enrollment ID: I20080911000648 |
| Provider Name | Vinayak Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619181096 PECOS PAC ID: 1355418211 Enrollment ID: I20080919000083 |
| Provider Name | Anna K Wright |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1639326804 PECOS PAC ID: 0042378101 Enrollment ID: I20081020000169 |
| Provider Name | Jacqueline S Lather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275706186 PECOS PAC ID: 5597821025 Enrollment ID: I20090306000359 |
| Provider Name | Ronobir R Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760698567 PECOS PAC ID: 1951468057 Enrollment ID: I20090317000194 |
| Provider Name | Tobie S Newberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598908121 PECOS PAC ID: 9436208162 Enrollment ID: I20090618000017 |
| Provider Name | Lorena K Donofrio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174731186 PECOS PAC ID: 9830240647 Enrollment ID: I20090707000466 |
| Provider Name | Jody Gerome |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154531275 PECOS PAC ID: 1557413150 Enrollment ID: I20090713000238 |
| Provider Name | Patricia Annette Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639307721 PECOS PAC ID: 8527114586 Enrollment ID: I20090917000021 |
| Provider Name | Katherine A Able-perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174751143 PECOS PAC ID: 1254487739 Enrollment ID: I20090924000591 |
| Provider Name | Nosayaba Agidigbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356572879 PECOS PAC ID: 3779629696 Enrollment ID: I20091007000368 |
| Provider Name | Shannon Christine Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730414962 PECOS PAC ID: 9335287663 Enrollment ID: I20091106000389 |
| Provider Name | Puran Karra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083940019 PECOS PAC ID: 9931240587 Enrollment ID: I20100105000567 |
| Provider Name | Louis C Keiler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033322219 PECOS PAC ID: 0648348706 Enrollment ID: I20100202000164 |
| Provider Name | Aili Guo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598822645 PECOS PAC ID: 3870625254 Enrollment ID: I20100721000061 |
| Provider Name | Katherine Elizabeth Hutchison-ulloa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699955518 PECOS PAC ID: 1052444940 Enrollment ID: I20100728001269 |
| Provider Name | Venkata Praveen Kondreddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710135389 PECOS PAC ID: 3173657376 Enrollment ID: I20100810000264 |
| Provider Name | Nathan Joel Lowien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003065178 PECOS PAC ID: 6305020520 Enrollment ID: I20110413000603 |
| Provider Name | Krista Duval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063740090 PECOS PAC ID: 7416134895 Enrollment ID: I20110613000337 |
| Provider Name | Linda S Ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750516621 PECOS PAC ID: 1658540109 Enrollment ID: I20110817000929 |
| Provider Name | Lenard Presutti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184619454 PECOS PAC ID: 1850561473 Enrollment ID: I20110908002018 |
| Provider Name | Jane Balbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396941043 PECOS PAC ID: 3173649225 Enrollment ID: I20110909002711 |
| Provider Name | Mary E Dumouchelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568744753 PECOS PAC ID: 0446423172 Enrollment ID: I20111025000677 |
| Provider Name | David Craig Eland |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1932150869 PECOS PAC ID: 7012181159 Enrollment ID: I20111129000476 |
| Provider Name | Harold Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447252077 PECOS PAC ID: 7810162237 Enrollment ID: I20111214000449 |
| Provider Name | Donald E Fuerst |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689688871 PECOS PAC ID: 9638234255 Enrollment ID: I20120221000240 |
| Provider Name | Amber Healy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447488622 PECOS PAC ID: 7315193844 Enrollment ID: I20120815000626 |
| Provider Name | Timothy T Kermode |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376705616 PECOS PAC ID: 0244480804 Enrollment ID: I20121017000593 |
| Provider Name | Bashar A Alawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396024121 PECOS PAC ID: 4688825334 Enrollment ID: I20121106000648 |
| Provider Name | Simeon J Hain |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1548598469 PECOS PAC ID: 0840432696 Enrollment ID: I20130807001047 |
| Provider Name | Sergio A Ulloa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912187626 PECOS PAC ID: 7012159718 Enrollment ID: I20130808000637 |
| Provider Name | Crystal Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447579669 PECOS PAC ID: 9133362171 Enrollment ID: I20130823000612 |
| Provider Name | Regina Sayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073945366 PECOS PAC ID: 3577706043 Enrollment ID: I20130830000734 |
| Provider Name | Cortney L. Cahoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336573971 PECOS PAC ID: 1254568769 Enrollment ID: I20131207000243 |
| Provider Name | Patrick Nduaguba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922319706 PECOS PAC ID: 1951539162 Enrollment ID: I20140115001505 |
| Provider Name | Carl T Ortman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205139391 PECOS PAC ID: 4789822974 Enrollment ID: I20140218000175 |
| Provider Name | Megan Marguerite Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508289141 PECOS PAC ID: 6608006705 Enrollment ID: I20140312000817 |
| Provider Name | Kristin Elizabeth Lowe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972625432 PECOS PAC ID: 9234387358 Enrollment ID: I20140613001108 |
| Provider Name | Amy M Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992949150 PECOS PAC ID: 2860629979 Enrollment ID: I20140626002344 |
| Provider Name | Katherine Holter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093139958 PECOS PAC ID: 9537384961 Enrollment ID: I20140627000552 |
| Provider Name | Cassandra N Grenade |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770744807 PECOS PAC ID: 7315186434 Enrollment ID: I20140709001831 |
| Provider Name | Hayden Hung-tan Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124319272 PECOS PAC ID: 2961628698 Enrollment ID: I20140801000308 |
| Provider Name | Lucy K Bucher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578882486 PECOS PAC ID: 0648497172 Enrollment ID: I20140807000338 |
| Provider Name | Majd Kanbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427346501 PECOS PAC ID: 4284872680 Enrollment ID: I20140808001977 |
| Provider Name | Nicholas H.e. Mezitis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265527295 PECOS PAC ID: 7618996174 Enrollment ID: I20140814001356 |
| Provider Name | Jason A Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194955658 PECOS PAC ID: 7719105683 Enrollment ID: I20140908000242 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538125372 PECOS PAC ID: 1850382433 Enrollment ID: I20141122000397 |
| Provider Name | Eric Britain Miller |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1245551498 PECOS PAC ID: 1951628569 Enrollment ID: I20150319001104 |
| Provider Name | Angela M Staker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538553854 PECOS PAC ID: 5496075483 Enrollment ID: I20150514001111 |
| Provider Name | Melinda C Dixson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356574214 PECOS PAC ID: 4880736479 Enrollment ID: I20150630000773 |
| Provider Name | Nicholas W Creasap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659670107 PECOS PAC ID: 8628223708 Enrollment ID: I20150714002643 |
| Provider Name | Scott A Jenkinson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265425698 PECOS PAC ID: 9032160791 Enrollment ID: I20150803001598 |
| Provider Name | Rebecca J Nduaguba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891055117 PECOS PAC ID: 5496060014 Enrollment ID: I20150811006002 |
| Provider Name | Anurag Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639313331 PECOS PAC ID: 8628200847 Enrollment ID: I20150909001451 |
| Provider Name | Audrey Katherine Larrimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407236193 PECOS PAC ID: 9537476544 Enrollment ID: I20150923000704 |
| Provider Name | Angela Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265882492 PECOS PAC ID: 5496049819 Enrollment ID: I20160808002867 |
| Provider Name | Marie J Polynice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265738371 PECOS PAC ID: 5294973210 Enrollment ID: I20160914002781 |
| Provider Name | Amy Zidron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356661599 PECOS PAC ID: 3577842509 Enrollment ID: I20161116000360 |
| Provider Name | Staci James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114284973 PECOS PAC ID: 0749569556 Enrollment ID: I20161118001778 |
| Provider Name | Gina J Wilberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104368679 PECOS PAC ID: 6608158985 Enrollment ID: I20170120002354 |
| Provider Name | Amber Gokkaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104071 PECOS PAC ID: 4284919283 Enrollment ID: I20170313002412 |
| Provider Name | Brandie J Shirey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225460710 PECOS PAC ID: 9739462367 Enrollment ID: I20170428001829 |
| Provider Name | David C Faber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073509287 PECOS PAC ID: 7618057076 Enrollment ID: I20170608001181 |
| Provider Name | Bridget Lombard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821431511 PECOS PAC ID: 5092020057 Enrollment ID: I20170807001883 |
| Provider Name | Jennifer Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295275717 PECOS PAC ID: 1355613878 Enrollment ID: I20170817004296 |
| Provider Name | Reginald Anunobi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144506239 PECOS PAC ID: 9537434618 Enrollment ID: I20170929002549 |
| Provider Name | Summer Lea Banzhaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295148260 PECOS PAC ID: 6002172228 Enrollment ID: I20171103001706 |
| Provider Name | Rachel Lynn Hunter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851379309 PECOS PAC ID: 9234201799 Enrollment ID: I20180718003811 |
| Provider Name | John D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871089748 PECOS PAC ID: 2365794914 Enrollment ID: I20181009001772 |
| Provider Name | Nicole Rae Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518432954 PECOS PAC ID: 4385998590 Enrollment ID: I20181106002914 |
| Provider Name | Roofan Alsayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477841641 PECOS PAC ID: 6507098530 Enrollment ID: I20190226002882 |
| Provider Name | Marc D Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679928527 PECOS PAC ID: 0143516427 Enrollment ID: I20190612003929 |
| Provider Name | Yuanjie Mao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720493190 PECOS PAC ID: 6608177894 Enrollment ID: I20190613003326 |
| Provider Name | Adir Ludin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679653166 PECOS PAC ID: 3375870066 Enrollment ID: I20190802001379 |
| Provider Name | Emily M Latta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295383123 PECOS PAC ID: 5092046243 Enrollment ID: I20191018002468 |
| Provider Name | Christina Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821632217 PECOS PAC ID: 6507930419 Enrollment ID: I20191209002974 |
Chrysalis Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 E State St Ste E, Athens, OH 45701 Phone: 740-200-0784 | |
Uma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Parks Hall, Athens, OH 45701 Phone: 740-593-2542 Fax: 740-593-0626 | |
Hopewell Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-594-5045 Fax: 740-594-5642 | |
Hopewell Health Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7976 Dairy Ln, Athens, OH 45701 Phone: 740-593-5164 Fax: 740-594-6829 | |
Imber Coppinger, D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E State St, Athens, OH 45701 Phone: 740-594-9355 Fax: 740-594-1110 | |
Athens Health Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Columbus Rd, Suite 105, Athens, OH 45701 Phone: 740-249-4122 Fax: 740-249-4126 | |
Pinnacle Treatment Centers Oh-i, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 E State St, Athens, OH 45701 Phone: 740-628-0181 |