| Daisley Family Practice | |
|
149 E Main St # 1117 Andover OH 44003-9479 | |
| (440) 293-5555 | |
| (440) 293-6643 |
| Full Name | Daisley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 149 E Main St # 1117, Andover, Ohio |
| Authorized Official Name and Position | Samuel J Daisley (PRESIDENT) |
| Authorized Official Contact | 4402935555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daisley Family Practice 149 E Main St # 1117 Andover OH 44003-9479 Ph: (440) 293-5555 | Daisley Family Practice 149 E Main St # 1117 Andover OH 44003-9479 Ph: (440) 293-5555 |
| NPI Number | 1023143823 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 12/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023143823 | NPI | - | NPPES |
| 2642975 | Medicaid | OH | |
| 1760677 | Other | PA | HIGHMARK BCBS-OH LOCATION |
| 1760704 | Other | PA | HIGHMARK BCBS-PA LOCATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Andover Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5594 State Route 7, Andover, OH 44003 Phone: 440-293-2444 Fax: 440-293-2445 | |
Joseph Charles Healthcare Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5594 State Route 7, Andover, OH 44003 Phone: 440-293-2444 Fax: 440-293-2445 | |
Andover Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5594 State Route 7, Andover, OH 44003 Phone: 440-293-2444 Fax: 440-293-2445 | |
Dr. Michael J. Namey, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 S Main St, Andover, OH 44003 Phone: 440-293-2444 Fax: 440-293-2445 |