| Concertocare Medical Group Of North Carolina, Pc | |
|
215 Fenway Road Columbus OH 43214-1409 | |
| (877) 597-1440 | |
| Not Available |
| Full Name | Concertocare Medical Group Of North Carolina, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Fenway Road, Columbus, Ohio |
| Authorized Official Name and Position | Loni R Belyea (ASSOCIATE MEDICAL DIRECTOR) |
| Authorized Official Contact | 4705533591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concertocare Medical Group Of North Carolina, Pc Po Box 801280 Kansas City MO 64180-1280 Ph: (470) 553-3591 | Concertocare Medical Group Of North Carolina, Pc 215 Fenway Road Columbus OH 43214-1409 Ph: (877) 597-1440 |
| NPI Number | 1073281374 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 2961897483 |
|---|---|
| Medicare Enrollment ID | O20220321001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073281374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cari Wilcox Dillard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811171325 PECOS PAC ID: 1254476807 Enrollment ID: I20100306000250 |
| Provider Name | Julie Ann Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932416450 PECOS PAC ID: 6002194149 Enrollment ID: I20161025001742 |
| Provider Name | Loni R Belyea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801213160 PECOS PAC ID: 6709157076 Enrollment ID: I20210305000659 |
| Provider Name | Alan Townes Grizzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881295418 PECOS PAC ID: 9537577507 Enrollment ID: I20210413001786 |
| Provider Name | Eyefujirin Ukponmwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861080111 PECOS PAC ID: 1951703610 Enrollment ID: I20210716002748 |
| Provider Name | Malka Sinwany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700500907 PECOS PAC ID: 9739555376 Enrollment ID: I20221021001746 |
| Provider Name | Angela Howlett Kehrley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104536176 PECOS PAC ID: 6709231046 Enrollment ID: I20231011001705 |
| Provider Name | Jacob Wasag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134780026 PECOS PAC ID: 8224362710 Enrollment ID: I20241003000170 |
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