| |
7419 Hamilton Ave Cincinnati OH 45231-4305 | |
(513) 376-7166 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 7419 Hamilton Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Caroletta James (MANAGER) |
Authorized Official Contact | 5133767166 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
7419 Hamilton Ave Cincinnati OH 45231-4305 Ph: (513) 376-7166 | 7419 Hamilton Ave Cincinnati OH 45231-4305 Ph: (513) 376-7166 |
NPI Number | 1821854324 |
---|---|
Provider Enumeration Date | 02/22/2024 |
Last Update Date | 01/22/2025 |
Medicare PECOS PAC ID | 9830625607 |
---|---|
Medicare Enrollment ID | O20241204002163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821854324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Caroletta James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497914014 PECOS PAC ID: 6901971522 Enrollment ID: I20140804001632 |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |