Catherine Laruffa Md Inc | |
700 S Broadway St Blanchester OH 45107-1465 | |
(937) 783-2600 | |
(937) 783-3086 |
Full Name | Catherine Laruffa Md Inc |
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Speciality | Family Medicine |
Location | 700 S Broadway St, Blanchester, Ohio |
Authorized Official Name and Position | Catherine Laruffa (PRESIDENT CEO) |
Authorized Official Contact | 9377832600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catherine Laruffa Md Inc 700 S Broadway St Blanchester OH 45107-1465 Ph: (937) 783-2600 | Catherine Laruffa Md Inc 700 S Broadway St Blanchester OH 45107-1465 Ph: (937) 783-2600 |
NPI Number | 1396853438 |
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Provider Enumeration Date | 08/28/2006 |
Last Update Date | 10/07/2019 |
Medicare PECOS PAC ID | 4183657356 |
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Medicare Enrollment ID | O20050917000087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396853438 | NPI | - | NPPES |
0028777 | Other | TRICARE | |
0120567 | Other | UNITED HEALTHCARE | |
0840693 | Medicaid | OH | |
277932 | Other | OH | AMERIGROUP OH MEDICAID |
000000022715 | Other | ANTHEM | |
4384406 | Other | AETNA | |
61245 | Other | HUMANA CHOICE CARE | |
289506103006 | Other | MEDICAL MUTUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3561245 (Ohio) | Primary |
Provider Name | Catherine Laruffa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972502789 PECOS PAC ID: 7618900887 Enrollment ID: I20100825000212 |
Provider Name | Andrew P Tepe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972087724 PECOS PAC ID: 2264784461 Enrollment ID: I20190102001699 |
Showa - Blanchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 942 Cherry St Ste B, Blanchester, OH 45107 Phone: 937-783-9355 | |
Concentra Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 942 Cherry St, Suite B, Blanchester, OH 45107 Phone: 937-783-9355 Fax: 937-783-2527 | |
Dr. Catherine Laruffa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway St, Blanchester, OH 45107 Phone: 937-783-2600 Fax: 937-783-3086 | |
Healthsource Blanchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 957a Cherry St, Blanchester, OH 45107 Phone: 937-783-7111 Fax: 937-783-7115 | |
Healthsource Blanchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 957a Cherry St, Blanchester, OH 45107 Phone: 937-783-7111 Fax: 937-783-7115 |