| Jodi Van Jura Md, Inc | |
|
1507 Springfield Pike Cincinnati OH 45215-1437 | |
| (513) 821-3700 | |
| (513) 821-3700 |
| Full Name | Jodi Van Jura Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1507 Springfield Pike, Cincinnati, Ohio |
| Authorized Official Name and Position | Jodi Van Jura (PHYSICIAN) |
| Authorized Official Contact | 5138213700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Van Jura Md, Inc 1507 Springfield Pike Cincinnati OH 45215-1437 Ph: (513) 821-3700 | Jodi Van Jura Md, Inc 1507 Springfield Pike Cincinnati OH 45215-1437 Ph: (513) 821-3700 |
| NPI Number | 1083914048 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 2466649108 |
|---|---|
| Medicare Enrollment ID | O20101208000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083914048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35050671 (Ohio) | Primary |
| Provider Name | Jodi L Van Jura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023122157 PECOS PAC ID: 3870679004 Enrollment ID: I20080327000513 |
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