| Great Lakes Physicians | |
|
1400 W Main St Bldg 1, Suite A Bellevue OH 44811-9429 | |
| (419) 483-2494 | |
| (419) 483-3224 |
| Full Name | Great Lakes Physicians |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1400 W Main St, Bellevue, Ohio |
| Authorized Official Name and Position | Tim Buit (CEO) |
| Authorized Official Contact | 4194834040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Physicians Po Box 638775 Cincinnati OH 45263-8775 Ph: (800) 514-4390 | Great Lakes Physicians 1400 W Main St Bldg 1, Suite A Bellevue OH 44811-9429 Ph: (419) 483-2494 |
| NPI Number | 1063481737 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 3779485099 |
|---|---|
| Medicare Enrollment ID | O20040126000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063481737 | NPI | - | NPPES |
| 2535377 | Medicaid | OH |
| Provider Name | Douglas M Hoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437139755 PECOS PAC ID: 9931003746 Enrollment ID: I20031126000378 |
| Provider Name | Todd R Tamlyn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083649842 PECOS PAC ID: 0244128767 Enrollment ID: I20060829000550 |
| Provider Name | Kristina Eberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295900520 PECOS PAC ID: 8224106984 Enrollment ID: I20081008000010 |
| Provider Name | Angela M Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073864153 PECOS PAC ID: 7214182443 Enrollment ID: I20130220000542 |
| Provider Name | Matthew P Noyes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922282219 PECOS PAC ID: 6901871557 Enrollment ID: I20130918000267 |
| Provider Name | Nathan P Samsa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619162781 PECOS PAC ID: 2466687223 Enrollment ID: I20131101000964 |
| Provider Name | Peter David Highlander |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285921072 PECOS PAC ID: 8325261498 Enrollment ID: I20140516001275 |
| Provider Name | Coleman Clougherty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417205642 PECOS PAC ID: 4183935588 Enrollment ID: I20150723007002 |
| Provider Name | Carrie Ann Dichiaro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447373212 PECOS PAC ID: 9739267485 Enrollment ID: I20170727002793 |
| Provider Name | Pamela Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487129243 PECOS PAC ID: 2860745445 Enrollment ID: I20181029002134 |
| Provider Name | Siddharth Kunte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639585870 PECOS PAC ID: 3577827369 Enrollment ID: I20200410001634 |
| Provider Name | James Daniel Morlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881292241 PECOS PAC ID: 5395153480 Enrollment ID: I20210408001681 |
| Provider Name | Mary Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912536137 PECOS PAC ID: 2961809868 Enrollment ID: I20210920002443 |
| Provider Name | Apoorva Chawla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710114145 PECOS PAC ID: 6406168194 Enrollment ID: I20221102003199 |
| Provider Name | Jessica Rapp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306164637 PECOS PAC ID: 0840448866 Enrollment ID: I20221203000357 |
| Provider Name | Nathan Jeffrey Kalil |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437772431 PECOS PAC ID: 8628439221 Enrollment ID: I20230728003146 |
| Provider Name | Heather Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427320340 PECOS PAC ID: 6204097157 Enrollment ID: I20240315001982 |
Buckeye Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1265 W Main St, Suite A, Bellevue, OH 44811 Phone: 419-483-1991 Fax: 419-483-1566 | |
Kim E Knight M.d., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 521 N Sandusky St, Suite A, Bellevue, OH 44811 Phone: 419-483-6267 Fax: 419-483-9204 | |
Rene Amburn Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Castalia St, Suite G, Bellevue, OH 44811 Phone: 419-483-2273 Fax: 419-483-8914 | |
Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 W Main St Ste B, Bellevue, OH 44811 Phone: 419-334-3869 | |
Charles P House Sr. D.o. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 N Sandusky St, Bellevue, OH 44811 Phone: 419-483-4495 Fax: 419-483-7068 | |
Ball Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 W Main St, Ste A, Bellevue, OH 44811 Phone: 419-483-7240 Fax: 419-483-2543 |