| Dr. Dirk Llc | |
|
300 W Spring St Unit 702 Columbus OH 43215-7651 | |
| (937) 232-8033 | |
| (937) 426-6576 |
| Full Name | Dr. Dirk Llc |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 300 W Spring St Unit 702, Columbus, Ohio |
| Authorized Official Name and Position | Dirk Norman Juschka (CEO) |
| Authorized Official Contact | 9374021000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dirk Llc Po Box 609 Lucasville OH 45648-0609 Ph: () - | Dr. Dirk Llc 300 W Spring St Unit 702 Columbus OH 43215-7651 Ph: (937) 232-8033 |
| NPI Number | 1801189592 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 11/23/2021 |
| Medicare PECOS PAC ID | 4880862796 |
|---|---|
| Medicare Enrollment ID | O20110720000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801189592 | NPI | - | NPPES |
| 0616033 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 314000000X | Skilled Nursing Facility | 35.052815 (Ohio) | Primary |
| Provider Name | Robert E Albright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750374039 PECOS PAC ID: 1456335611 Enrollment ID: I20040622000020 |
| Provider Name | Dirk N Juschka |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497750137 PECOS PAC ID: 5698738946 Enrollment ID: I20041108000505 |
| Provider Name | David A Apgar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972640696 PECOS PAC ID: 8628037637 Enrollment ID: I20041227000610 |
| Provider Name | Kimberley Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013953637 PECOS PAC ID: 9133126022 Enrollment ID: I20061108000015 |
| Provider Name | Sean Duane Stiltner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821156472 PECOS PAC ID: 0143220889 Enrollment ID: I20070103000428 |
| Provider Name | James M Mcweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891929527 PECOS PAC ID: 2163575754 Enrollment ID: I20090729000606 |
| Provider Name | Denise Hinders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672828 PECOS PAC ID: 0648445619 Enrollment ID: I20111203000037 |
| Provider Name | Jessica Yurasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287584 PECOS PAC ID: 5395981815 Enrollment ID: I20130429000213 |
| Provider Name | Lori A Rumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295084887 PECOS PAC ID: 1557508629 Enrollment ID: I20130508000531 |
| Provider Name | Amy L Slusher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861839516 PECOS PAC ID: 4183862147 Enrollment ID: I20130603000392 |
| Provider Name | Anthony H Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295177194 PECOS PAC ID: 1355576737 Enrollment ID: I20131022000386 |
| Provider Name | Donna J Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538507769 PECOS PAC ID: 8820225063 Enrollment ID: I20131216000999 |
| Provider Name | Yacin M Zawam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215239553 PECOS PAC ID: 1153558234 Enrollment ID: I20140827001765 |
| Provider Name | Angela R Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083048474 PECOS PAC ID: 0648494070 Enrollment ID: I20141203002633 |
| Provider Name | Ajit P Lale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275855207 PECOS PAC ID: 6305098625 Enrollment ID: I20151130001980 |
| Provider Name | Alicia Fink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629220744 PECOS PAC ID: 2860552239 Enrollment ID: I20151215001387 |
| Provider Name | Eugenia A Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811270879 PECOS PAC ID: 0840593067 Enrollment ID: I20160121002727 |
| Provider Name | Renato P Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548243082 PECOS PAC ID: 5698969723 Enrollment ID: I20160604000011 |
| Provider Name | Sue Ann Maughmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174061022 PECOS PAC ID: 6305121070 Enrollment ID: I20170320001426 |
| Provider Name | Johnnie Jeanette Dillinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235371899 PECOS PAC ID: 4486939956 Enrollment ID: I20170323002380 |
| Provider Name | Rebekah Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528225604 PECOS PAC ID: 3274807888 Enrollment ID: I20170920003408 |
| Provider Name | Jennifer Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174063234 PECOS PAC ID: 1355627134 Enrollment ID: I20171011002211 |
| Provider Name | Shanna R Ream |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962926717 PECOS PAC ID: 2062778632 Enrollment ID: I20171115000336 |
| Provider Name | Genevieve M Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114471851 PECOS PAC ID: 1759664014 Enrollment ID: I20171211000121 |
| Provider Name | Lori Ann Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255841797 PECOS PAC ID: 3274892690 Enrollment ID: I20180110002612 |
| Provider Name | Theresa Staten |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689109407 PECOS PAC ID: 7012279805 Enrollment ID: I20180319001859 |
| Provider Name | Corryn R Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342272 PECOS PAC ID: 3779767124 Enrollment ID: I20180919000879 |
| Provider Name | Lisa A Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629228929 PECOS PAC ID: 1658619523 Enrollment ID: I20190219002179 |
| Provider Name | Elisha A Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689237166 PECOS PAC ID: 0749523678 Enrollment ID: I20190516002342 |
| Provider Name | Randi Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760947030 PECOS PAC ID: 8224363841 Enrollment ID: I20190718000421 |
| Provider Name | Ray Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277865 PECOS PAC ID: 2668701251 Enrollment ID: I20190906002085 |
| Provider Name | Christine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399509 PECOS PAC ID: 6507195047 Enrollment ID: I20190910000552 |
| Provider Name | Nicole Lynn Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023656642 PECOS PAC ID: 4284064601 Enrollment ID: I20200605001573 |
| Provider Name | Jeremy Fliehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760091516 PECOS PAC ID: 7315366986 Enrollment ID: I20200930003354 |
| Provider Name | Melissa Dawn Manson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649887902 PECOS PAC ID: 2062822539 Enrollment ID: I20201112000895 |
| Provider Name | Leann Carol Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528655669 PECOS PAC ID: 2860894136 Enrollment ID: I20210708002297 |
| Provider Name | Saurabh Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598266561 PECOS PAC ID: 0143577460 Enrollment ID: I20210921000547 |
| Provider Name | Rebecca Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518210475 PECOS PAC ID: 4981951654 Enrollment ID: I20220222000982 |
| Provider Name | Meghan Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942943873 PECOS PAC ID: 8527447705 Enrollment ID: I20220617001255 |
| Provider Name | Mark A. Crager |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609827740 PECOS PAC ID: 4082619978 Enrollment ID: I20230629003541 |
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