Breakthrough Medical Plus Llc | |
38 E Columbus St Pickerington OH 43147-2316 | |
(614) 920-9902 | |
Not Available |
Full Name | Breakthrough Medical Plus Llc |
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Speciality | General Practice |
Location | 38 E Columbus St, Pickerington, Ohio |
Authorized Official Name and Position | Rodney Oberdorf (OWNER) |
Authorized Official Contact | 6149209902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Breakthrough Medical Plus Llc 38 E Columbus St Pickerington OH 43147-2316 Ph: () - | Breakthrough Medical Plus Llc 38 E Columbus St Pickerington OH 43147-2316 Ph: (614) 920-9902 |
NPI Number | 1316466899 |
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Provider Enumeration Date | 09/15/2017 |
Last Update Date | 09/15/2017 |
Medicare PECOS PAC ID | 7012279763 |
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Medicare Enrollment ID | O20180319000279 |
Identifier | Type | State | Issuer |
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1316466899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Brian G Supplee |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679572234 PECOS PAC ID: 2567471857 Enrollment ID: I20060414000004 |
Provider Name | Rodney Paul Oberdorf |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598892465 PECOS PAC ID: 1557432341 Enrollment ID: I20080623000295 |
Provider Name | Monica Ruth Riffle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568770808 PECOS PAC ID: 1951595040 Enrollment ID: I20101102001489 |
Provider Name | Rachel M. Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225695455 PECOS PAC ID: 8123355500 Enrollment ID: I20190807003177 |
Provider Name | Morgan E Otto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952067936 PECOS PAC ID: 3274923974 Enrollment ID: I20211213002171 |
Provider Name | Zachary Aaron Gorman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316668601 PECOS PAC ID: 2163890112 Enrollment ID: I20221122001934 |
Provider Name | Sarah Lynn George |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073370771 PECOS PAC ID: 0042659674 Enrollment ID: I20240416001996 |
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