Concertohealth Of Ohio Llc | |
5553 Southwyck Boulevard Suite 101 Toledo OH 43614 | |
(877) 597-1440 | |
Not Available |
Full Name | Concertohealth Of Ohio Llc |
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Speciality | Family Medicine |
Location | 5553 Southwyck Boulevard, Toledo, Ohio |
Authorized Official Name and Position | Jennifer Bryant (SECRETARY) |
Authorized Official Contact | 9496899526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Concertohealth Of Ohio Llc 811 Main Street, 7th Floor Attn: Lbx 801280 Kansas City MO 64105 Ph: (949) 670-6418 | Concertohealth Of Ohio Llc 5553 Southwyck Boulevard Suite 101 Toledo OH 43614 Ph: (877) 597-1440 |
NPI Number | 1386290302 |
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Provider Enumeration Date | 08/15/2019 |
Last Update Date | 07/10/2024 |
Medicare PECOS PAC ID | 3274865902 |
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Medicare Enrollment ID | O20191030002546 |
Identifier | Type | State | Issuer |
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1386290302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cheryl Dunlap |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801046065 PECOS PAC ID: 3870650096 Enrollment ID: I20090316000114 |
Provider Name | Jennifer G Heller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609016617 PECOS PAC ID: 8123175684 Enrollment ID: I20090421000003 |
Provider Name | Tiffany L Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518240571 PECOS PAC ID: 2062689045 Enrollment ID: I20120113000484 |
Provider Name | Timothy S Murray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891139895 PECOS PAC ID: 8628203395 Enrollment ID: I20131105001206 |
Provider Name | Sarah Behnfeldt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528410032 PECOS PAC ID: 8325336035 Enrollment ID: I20161012002838 |
Provider Name | Jameelah Ragland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598280596 PECOS PAC ID: 0042565327 Enrollment ID: I20180611002066 |
Provider Name | Amyee Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215406418 PECOS PAC ID: 2860731023 Enrollment ID: I20190305003099 |
Provider Name | Nicole K Hammock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023660461 PECOS PAC ID: 1153653373 Enrollment ID: I20191021002569 |
Provider Name | Angelic Washington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588294243 PECOS PAC ID: 2163844085 Enrollment ID: I20200623002607 |
Provider Name | Danielle M Beebe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366042962 PECOS PAC ID: 4486065000 Enrollment ID: I20201202002204 |
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