| Eventus Ecs - Ohio Llc | |
|
3958 Brown Park Dr Ste D Hilliard OH 43026-1160 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Ecs - Ohio Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3958 Brown Park Dr Ste D, Hilliard, Ohio |
| Authorized Official Name and Position | Jennifer Rucci (OWNER) |
| Authorized Official Contact | 8557432247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Ecs - Ohio Llc Po Box 1431 Dept 421 Charlotte NC 28201-1431 Ph: (855) 743-2247 | Eventus Ecs - Ohio Llc 3958 Brown Park Dr Ste D Hilliard OH 43026-1160 Ph: (855) 743-2247 |
| NPI Number | 1972321842 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 0547795197 |
|---|---|
| Medicare Enrollment ID | O20241120000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972321842 | NPI | - | NPPES |
| Provider Name | Anthony J Abdullah |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457319386 PECOS PAC ID: 8527950195 Enrollment ID: I20040327000410 |
| 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 | Sean Duane Stiltner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821156472 PECOS PAC ID: 0143220889 Enrollment ID: I20070103000428 |
| Provider Name | Andrew Offerle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598785149 PECOS PAC ID: 5193798031 Enrollment ID: I20191206002239 |
| Provider Name | Saurabh Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598266561 PECOS PAC ID: 0143577460 Enrollment ID: I20210921000547 |
| Provider Name | Steven Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215934310 PECOS PAC ID: 6406754910 Enrollment ID: I20220125000952 |
| Provider Name | Marwan Mustaklem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750357513 PECOS PAC ID: 0941102644 Enrollment ID: I20220215000321 |
| Provider Name | Mark A. Crager |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609827740 PECOS PAC ID: 4082619978 Enrollment ID: I20230629003541 |
| Provider Name | Koby Michael Dixon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134784937 PECOS PAC ID: 9638588239 Enrollment ID: I20240112002251 |
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