| Crescent Health, Inc | |
|
6442 Cedar Creek Ct Mason OH 45040-7649 | |
| (513) 226-3687 | |
| (513) 336-6359 |
| Full Name | Crescent Health, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6442 Cedar Creek Ct, Mason, Ohio |
| Authorized Official Name and Position | Saba A Ansari (OWNER) |
| Authorized Official Contact | 5135696780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Health, Inc Po Box 635221 Cincinnati OH 45263-0043 Ph: (513) 891-7574 | Crescent Health, Inc 6442 Cedar Creek Ct Mason OH 45040-7649 Ph: (513) 226-3687 |
| NPI Number | 1497854152 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 3476563636 |
|---|---|
| Medicare Enrollment ID | O20060502000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497854152 | NPI | - | NPPES |
| 2949448 | Medicaid | OH | |
| DE3030 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Saba Azher Ansari |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972506855 PECOS PAC ID: 7911973524 Enrollment ID: I20050609000027 |
| Provider Name | Patricia M Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275707739 PECOS PAC ID: 5890867683 Enrollment ID: I20080711000050 |
| Provider Name | Jennifer M Tandoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508898172 PECOS PAC ID: 6507845419 Enrollment ID: I20130308000414 |
| Provider Name | Ran Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467581132 PECOS PAC ID: 4981697885 Enrollment ID: I20180221000982 |
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