| Firsthand Health Of Ohio | |
|
13201 Granger Rd Ste 2 Cleveland OH 44125-1979 | |
| (844) 378-4263 | |
| Not Available |
| Full Name | Firsthand Health Of Ohio |
|---|---|
| Speciality | General Practice |
| Location | 13201 Granger Rd Ste 2, Cleveland, Ohio |
| Authorized Official Name and Position | Joe Parks (INCORPORATOR) |
| Authorized Official Contact | 5738648733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firsthand Health Of Ohio 524 Broadway Fl 11 New York NY 10012-4471 Ph: (844) 378-4263 | Firsthand Health Of Ohio 13201 Granger Rd Ste 2 Cleveland OH 44125-1979 Ph: (844) 378-4263 |
| NPI Number | 1780348185 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 2567859721 |
|---|---|
| Medicare Enrollment ID | O20220901001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780348185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jenica B Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699915900 PECOS PAC ID: 2062669427 Enrollment ID: I20120821000284 |
| Provider Name | Zorka B Gedeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881088367 PECOS PAC ID: 1658686878 Enrollment ID: I20150818004246 |
| Provider Name | Cynthia L Mazey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053779876 PECOS PAC ID: 1951607365 Enrollment ID: I20160310002580 |
| Provider Name | Wanda Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720539018 PECOS PAC ID: 9335429042 Enrollment ID: I20161214001325 |
| Provider Name | Meredith Ellen Staas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194269936 PECOS PAC ID: 9739460999 Enrollment ID: I20161229001673 |
| Provider Name | Tera Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174081632 PECOS PAC ID: 1355776543 Enrollment ID: I20200116000675 |
| Provider Name | Monica Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740745702 PECOS PAC ID: 5698192417 Enrollment ID: I20210126001178 |
| Provider Name | Joseph J. Parks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003898495 PECOS PAC ID: 5496668204 Enrollment ID: I20220526002954 |
| Provider Name | Brenda Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639565062 PECOS PAC ID: 7416245576 Enrollment ID: I20231209000608 |
| Provider Name | Ashlee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874230 PECOS PAC ID: 4880941012 Enrollment ID: I20240125001369 |
| Provider Name | Ana Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376870451 PECOS PAC ID: 8325188550 Enrollment ID: I20240208004055 |
| Provider Name | Kandace Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417430190 PECOS PAC ID: 1557615465 Enrollment ID: I20240213004289 |
| Provider Name | Adam Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558626689 PECOS PAC ID: 2961659586 Enrollment ID: I20240529003577 |
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