Chesapeake Family Medical Center | |
717 3rd Ave Chesapeake OH 45619-1080 | |
(740) 867-6687 | |
(740) 867-5555 |
Full Name | Chesapeake Family Medical Center |
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Speciality | Clinic/Center |
Location | 717 3rd Ave, Chesapeake, Ohio |
Authorized Official Name and Position | Nancy J Lewis (DIRECTOR OF HEALTH SERVICES) |
Authorized Official Contact | 7405323534 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chesapeake Family Medical Center 305 N 5th St Ironton OH 45638-1578 Ph: (740) 532-3534 | Chesapeake Family Medical Center 717 3rd Ave Chesapeake OH 45619-1080 Ph: (740) 867-6687 |
NPI Number | 1215014113 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 01/03/2014 |
Medicare PECOS PAC ID | 8820902497 |
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Medicare Enrollment ID | O20100325000713 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215014113 | NPI | - | NPPES |
0949308 | Medicaid | OH | |
3810014070 | Medicaid | WV | |
7100113390 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Mary Beth Blankenship |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043272404 PECOS PAC ID: 7113831645 Enrollment ID: I20031118000596 |
Provider Name | Luther Daniel Hall |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669470258 PECOS PAC ID: 3375514474 Enrollment ID: I20040804001462 |
Provider Name | David A Apgar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972640696 PECOS PAC ID: 8628037637 Enrollment ID: I20041227000610 |
Provider Name | Tamela R King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265439384 PECOS PAC ID: 6204735434 Enrollment ID: I20080301000132 |
Provider Name | Sue Adams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598734170 PECOS PAC ID: 6507867215 Enrollment ID: I20100419000845 |
Provider Name | Nancy Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881653913 PECOS PAC ID: 8123932795 Enrollment ID: I20100420000618 |
Provider Name | Jennifer Gibson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194002162 PECOS PAC ID: 1153596812 Enrollment ID: I20120911000356 |
Provider Name | Ryan K Brislin |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407098023 PECOS PAC ID: 5698923670 Enrollment ID: I20120917000558 |
Provider Name | Vinod Miriyala |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1225055940 PECOS PAC ID: 7618121583 Enrollment ID: I20130129000658 |
Provider Name | Henry T Barron |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528223179 PECOS PAC ID: 8224279153 Enrollment ID: I20130718000666 |
Provider Name | Kristina Rowe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528236262 PECOS PAC ID: 0244316560 Enrollment ID: I20140114001084 |
Provider Name | Steven S Brumfield |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992745624 PECOS PAC ID: 5193818615 Enrollment ID: I20160302002751 |
Provider Name | Sheila Adkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740649607 PECOS PAC ID: 3971800533 Enrollment ID: I20160324001723 |
Provider Name | Bonnie Renee Patrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386026557 PECOS PAC ID: 5890009484 Enrollment ID: I20161219002391 |
Provider Name | Tonnette Hoffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437601143 PECOS PAC ID: 4688958705 Enrollment ID: I20170308001802 |
Provider Name | Amanda D Workman |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033323100 PECOS PAC ID: 1355424359 Enrollment ID: I20170324001170 |
Provider Name | Larin L Rearden |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932526092 PECOS PAC ID: 5193092229 Enrollment ID: I20170523000945 |
Provider Name | Natalie R Adams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336661222 PECOS PAC ID: 3375814726 Enrollment ID: I20170803003094 |
Provider Name | Catherine C Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760902001 PECOS PAC ID: 9739451683 Enrollment ID: I20170828001405 |
Provider Name | Tiffany Ann Spears |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245516251 PECOS PAC ID: 6901073972 Enrollment ID: I20171005003060 |
Provider Name | Molly Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437181104 PECOS PAC ID: 7012002439 Enrollment ID: I20171017001300 |
Provider Name | Jacqueline N Stumbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275938904 PECOS PAC ID: 9436449907 Enrollment ID: I20180608000773 |
Provider Name | Heather Leigh Mayville |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1699190181 PECOS PAC ID: 0244463610 Enrollment ID: I20181205002128 |
Provider Name | Sarah A Setran |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659778975 PECOS PAC ID: 4183948193 Enrollment ID: I20190110002479 |
Provider Name | Janelle Elaine Fitzgerald Kratzenberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669957569 PECOS PAC ID: 4082959945 Enrollment ID: I20190319002239 |
Provider Name | Melissa Callihan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093272437 PECOS PAC ID: 5698016384 Enrollment ID: I20190405001809 |
Provider Name | Monica E Cline |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1265471395 PECOS PAC ID: 9931106192 Enrollment ID: I20200622002312 |
Provider Name | Donna Bolden |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194729111 PECOS PAC ID: 1355519406 Enrollment ID: I20200629000554 |
Provider Name | Pearl E Hennan-hain |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1871597815 PECOS PAC ID: 6800064502 Enrollment ID: I20200630001537 |
Provider Name | Robert B Johnson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871096321 PECOS PAC ID: 2860731635 Enrollment ID: I20200804002660 |
Provider Name | Kimberly A Demattie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154834539 PECOS PAC ID: 8325445133 Enrollment ID: I20210921003581 |
Chesapeake Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 3rd Ave, Chesapeake, OH 45619 Phone: 740-867-6687 Fax: 740-867-5555 | |
Collins Career Center Student Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11627 Sate Route 243, Chesapeake, OH 45619 Phone: 740-867-6641 Fax: 740-867-9626 |