Atlantic Medical Group | |
3501 Lesh St Ne Canton OH 44705-4376 | |
(330) 456-3487 | |
(330) 456-3895 |
Full Name | Atlantic Medical Group |
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Speciality | Clinic/Center |
Location | 3501 Lesh St Ne, Canton, Ohio |
Authorized Official Name and Position | Shelley Victoria Smith (OFFICE MANAGER) |
Authorized Official Contact | 3304563487 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlantic Medical Group 3501 Lesh St Ne Canton OH 44705-4376 Ph: (330) 456-3487 | Atlantic Medical Group 3501 Lesh St Ne Canton OH 44705-4376 Ph: (330) 456-3487 |
NPI Number | 1770968943 |
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Provider Enumeration Date | 07/29/2015 |
Last Update Date | 07/30/2015 |
Medicare PECOS PAC ID | 0749564557 |
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Medicare Enrollment ID | O20170222002125 |
Identifier | Type | State | Issuer |
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1770968943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Anup Dev T Salgia |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295703569 PECOS PAC ID: 3870487846 Enrollment ID: I20040211000014 |
Provider Name | John N Pinghero |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104081280 PECOS PAC ID: 9234212200 Enrollment ID: I20120220000145 |
Provider Name | Larry Whetsell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588150882 PECOS PAC ID: 5597013581 Enrollment ID: I20180808000467 |
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