Concordia Physician Practice | |
112 Marwood Road #5000 Cabot PA 16023-2245 | |
(724) 352-4448 | |
(724) 352-4412 |
Full Name | Concordia Physician Practice |
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Speciality | Family Medicine |
Location | 112 Marwood Road #5000, Cabot, Pennsylvania |
Authorized Official Name and Position | Keith E Frndak (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7243521571 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Concordia Physician Practice 112 Marwood Road #5000 Cabot PA 16023-2245 Ph: (724) 352-4448 | Concordia Physician Practice 112 Marwood Road #5000 Cabot PA 16023-2245 Ph: (724) 352-4448 |
NPI Number | 1699153247 |
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Provider Enumeration Date | 05/15/2015 |
Last Update Date | 05/15/2015 |
Medicare PECOS PAC ID | 8820300387 |
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Medicare Enrollment ID | O20150713000320 |
Identifier | Type | State | Issuer |
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1699153247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | Dina Cecere Dosch |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902946650 PECOS PAC ID: 6002892791 Enrollment ID: I20040624001246 |
Provider Name | Grant J Shevchik |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275501793 PECOS PAC ID: 1254528458 Enrollment ID: I20101214000999 |
Provider Name | Daniel P Mcknight |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235581117 PECOS PAC ID: 7719265222 Enrollment ID: I20161102002657 |
Provider Name | Stephanie M Snow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689188278 PECOS PAC ID: 6204195233 Enrollment ID: I20180118002597 |
Provider Name | Terrance Shelton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124656178 PECOS PAC ID: 3577994185 Enrollment ID: I20200515000550 |
Provider Name | Saied A Sanjari |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730744053 PECOS PAC ID: 9335529726 Enrollment ID: I20220701000315 |
Cabot Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Marwood Rd, Suite 1, Cabot, PA 16023 Phone: 412-486-8677 Fax: 412-486-8415 |