Family Practice Associates Of Springfield Llc | |
2701 Moorefield Rd Springfield OH 45502-8207 | |
(937) 399-6650 | |
(513) 718-3223 |
Full Name | Family Practice Associates Of Springfield Llc |
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Speciality | Family Medicine |
Location | 2701 Moorefield Rd, Springfield, Ohio |
Authorized Official Name and Position | Richard Gordon (PRESIDENT) |
Authorized Official Contact | 9373996650 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Practice Associates Of Springfield Llc 2701 Moorefield Rd Springfield OH 45502-8207 Ph: () - | Family Practice Associates Of Springfield Llc 2701 Moorefield Rd Springfield OH 45502-8207 Ph: (937) 399-6650 |
NPI Number | 1265492839 |
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Provider Enumeration Date | 03/27/2006 |
Last Update Date | 10/10/2023 |
Medicare PECOS PAC ID | 8820088149 |
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Medicare Enrollment ID | O20040517001357 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265492839 | NPI | - | NPPES |
2221750 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Richard E Gordon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154313609 PECOS PAC ID: 6103816459 Enrollment ID: I20091203000198 |
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