| Comprehensive Geriatric Care, Llc | |
|
1110 Oakwood Ave Oakwood OH 45419-2911 | |
| (419) 206-1249 | |
| (419) 868-1503 |
| Full Name | Comprehensive Geriatric Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1110 Oakwood Ave, Oakwood, Ohio |
| Authorized Official Name and Position | Susan Elaine Berner (PRESIDENT/OWNER) |
| Authorized Official Contact | 9379012876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Geriatric Care, Llc 1110 Oakwood Ave Oakwood OH 45419-2911 Ph: (419) 206-1249 | Comprehensive Geriatric Care, Llc 1110 Oakwood Ave Oakwood OH 45419-2911 Ph: (419) 206-1249 |
| NPI Number | 1598945230 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 3476642901 |
|---|---|
| Medicare Enrollment ID | O20071205000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598945230 | NPI | - | NPPES |
| 2428859 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 310400000X | Assisted Living Facility | 35082789 (Ohio) | Secondary |
| Provider Name | Susan Berner |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952384505 PECOS PAC ID: 2062447394 Enrollment ID: I20051005000537 |
| Provider Name | Anne C Schoen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457576266 PECOS PAC ID: 9032286638 Enrollment ID: I20080924000110 |
| Provider Name | Tara Sue Vangundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295080851 PECOS PAC ID: 1052567302 Enrollment ID: I20120802000249 |
| Provider Name | Abraham Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Julie Angel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659901650 PECOS PAC ID: 4385074046 Enrollment ID: I20200420002873 |
| Provider Name | Regina Cano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790051506 PECOS PAC ID: 6608021456 Enrollment ID: I20200512003256 |
| Provider Name | Isabelle Mccurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316563109 PECOS PAC ID: 5991120867 Enrollment ID: I20200810001431 |
Schear Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sugar Camp Cir Ste 100, Oakwood, OH 45409 Phone: 937-276-5901 Fax: 937-276-2620 | |
Executive Medical Centers Of Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Sugar Camp Cir Ste 140, Oakwood, OH 45409 Phone: 937-395-3622 Fax: 937-395-3646 |