| Expressmed | |
|
445 Rocky Fork Blvd Gahanna OH 43230-3336 | |
| (614) 442-2431 | |
| (614) 442-2426 |
| Full Name | Expressmed |
|---|---|
| Speciality | Family Medicine |
| Location | 445 Rocky Fork Blvd, Gahanna, Ohio |
| Authorized Official Name and Position | Michael C Bourland (SECRETARY/TREASURER) |
| Authorized Official Contact | 6144422431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Expressmed 2939 Kenny Rd Ste 200 Columbus OH 43221-2406 Ph: (614) 442-2431 | Expressmed 445 Rocky Fork Blvd Gahanna OH 43230-3336 Ph: (614) 442-2431 |
| NPI Number | 1386988004 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 7911141999 |
|---|---|
| Medicare Enrollment ID | O20130912000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386988004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Donata Ann Rechnitzer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760470504 PECOS PAC ID: 0143289116 Enrollment ID: I20041005001320 |
| Provider Name | Matia Mulumba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851324834 PECOS PAC ID: 5991739609 Enrollment ID: I20050922000308 |
| Provider Name | Kenneth Allen Writesel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023078532 PECOS PAC ID: 0042118028 Enrollment ID: I20080407000011 |
| Provider Name | Jennifer Brockmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073952446 PECOS PAC ID: 7517182454 Enrollment ID: I20140708002283 |
| Provider Name | Wendy A. Greiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235539818 PECOS PAC ID: 1052637006 Enrollment ID: I20150310001077 |
| Provider Name | Lindsey Renee Tann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447658026 PECOS PAC ID: 0042525388 Enrollment ID: I20150817001136 |
| Provider Name | Sheryl E Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316354848 PECOS PAC ID: 1355642869 Enrollment ID: I20151228001828 |
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