| City Clinics Ohio Llc | |
|
6265 Emerald Pkwy Dublin OH 43016-3241 | |
| (614) 929-3349 | |
| (614) 929-7199 |
| Full Name | City Clinics Ohio Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6265 Emerald Pkwy, Dublin, Ohio |
| Authorized Official Name and Position | Victoria Leelyn Finnerty (ADMINISTRATOR) |
| Authorized Official Contact | 7404053873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Clinics Ohio Llc 6265 Emerald Pkwy Ste 150 Dublin OH 43016-3241 Ph: (740) 405-3873 | City Clinics Ohio Llc 6265 Emerald Pkwy Dublin OH 43016-3241 Ph: (614) 929-3349 |
| NPI Number | 1548988215 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 01/06/2023 |
| Medicare PECOS PAC ID | 2163890369 |
|---|---|
| Medicare Enrollment ID | O20221118002199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548988215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Louis Leo Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366439325 PECOS PAC ID: 9335124825 Enrollment ID: I20040621000002 |
| Provider Name | Rajesh Rajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154642098 PECOS PAC ID: 0941446645 Enrollment ID: I20160920002549 |
| Provider Name | Alexa Teresa Csepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740808468 PECOS PAC ID: 8921477720 Enrollment ID: I20221219001358 |
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