| Ddc Clinic For Special Needs Children | |
|
14567 Madison Rd Middlefield OH 44062-9499 | |
| (440) 632-1668 | |
| (440) 632-1697 |
| Full Name | Ddc Clinic For Special Needs Children |
|---|---|
| Speciality | Clinic/Center |
| Location | 14567 Madison Rd, Middlefield, Ohio |
| Authorized Official Name and Position | Patti Gallagher (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 4406321668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ddc Clinic For Special Needs Children 14567 Madison Rd Middlefield OH 44062-9499 Ph: (440) 632-1668 | Ddc Clinic For Special Needs Children 14567 Madison Rd Middlefield OH 44062-9499 Ph: (440) 632-1668 |
| NPI Number | 1124051842 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 09/30/2021 |
| Medicare PECOS PAC ID | 7618918426 |
|---|---|
| Medicare Enrollment ID | O20120402000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124051842 | NPI | - | NPPES |
| 2323980 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 81033 (Ohio) | Primary |
| Provider Name | Heng Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255588406 PECOS PAC ID: 7416998224 Enrollment ID: I20120412000693 |
| Provider Name | Vincent Blair Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033571948 PECOS PAC ID: 9234527292 Enrollment ID: I20220317000445 |
Jon J Floriano, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15561 W High St, Middlefield, OH 44062 Phone: 440-632-1118 Fax: 440-632-1453 | |
Geauga Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16030 E High St, Middlefield, OH 44062 Phone: 440-632-0770 Fax: 440-632-0321 | |
Dba: Middlefield Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16030 E High St, Middlefield, OH 44062 Phone: 440-632-0770 Fax: 440-632-0321 | |
Living Well Holistic Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15065 Kinsman Rd Ste 8, Middlefield, OH 44062 Phone: 440-632-5814 | |
Prime Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15050 S Springdale Ave, Middlefield, OH 44062 Phone: 440-632-3024 Fax: 440-632-3026 | |
Middlefield Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16030 E High St, Middlefield, OH 44062 Phone: 440-632-0770 Fax: 440-632-0321 |