| Chagrin Valley Medical Associates Llc | |
|
29 N Adams St Akron OH 44304-1641 | |
| (732) 309-4844 | |
| Not Available |
| Full Name | Chagrin Valley Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 29 N Adams St, Akron, Ohio |
| Authorized Official Name and Position | Angel Amado Lazo (MANAGING EMPLOYEE) |
| Authorized Official Contact | 7323094844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chagrin Valley Medical Associates Llc 17 Pepperwood Ln Pepper Pike OH 44124-4701 Ph: (732) 309-4844 | Chagrin Valley Medical Associates Llc 29 N Adams St Akron OH 44304-1641 Ph: (732) 309-4844 |
| NPI Number | 1841972676 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 5991150740 |
|---|---|
| Medicare Enrollment ID | O20231013001105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841972676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Devin L Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790968543 PECOS PAC ID: 2062544893 Enrollment ID: I20100714000835 |
| Provider Name | Jessica M Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891132494 PECOS PAC ID: 9830330604 Enrollment ID: I20130722000399 |
| Provider Name | Angel Amado Lazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518329754 PECOS PAC ID: 8921340167 Enrollment ID: I20190508001877 |
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