| Hospitalist Medicine Physicians Of Ohio - Batavia Pc | |
|
2300 Baltimore Reynoldsburg Rd Ste 100 Reynoldsburg OH 43068-8030 | |
| (615) 377-5658 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Ohio - Batavia Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Baltimore Reynoldsburg Rd Ste 100, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Shannon Lagrone (DIRECTOR PAYER ENROLLMENT) |
| Authorized Official Contact | 2144225715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Ohio - Batavia Pc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Ohio - Batavia Pc 2300 Baltimore Reynoldsburg Rd Ste 100 Reynoldsburg OH 43068-8030 Ph: (615) 377-5658 |
| NPI Number | 1497503957 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 1153866934 |
|---|---|
| Medicare Enrollment ID | O20240717000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497503957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip S Ghally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235399031 PECOS PAC ID: 2365588266 Enrollment ID: I20091007000205 |
| Provider Name | Khairi Shmina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205275674 PECOS PAC ID: 9830487693 Enrollment ID: I20161011000736 |
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