| Hudson Family Practice, Inc | |
|
5655 Hudson Dr Suite 303 Hudson OH 44236 | |
| (330) 800-4800 | |
| (330) 653-3007 |
| Full Name | Hudson Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5655 Hudson Dr, Hudson, Ohio |
| Authorized Official Name and Position | Terry John Wagner (PRESIDENT) |
| Authorized Official Contact | 3303443000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Family Practice, Inc 5655 Hudson Dr Suite 303 Hudson OH 44236 Ph: (330) 800-4800 | Hudson Family Practice, Inc 5655 Hudson Dr Suite 303 Hudson OH 44236 Ph: (330) 800-4800 |
| NPI Number | 1063553980 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 01/26/2021 |
| Medicare PECOS PAC ID | 8527113950 |
|---|---|
| Medicare Enrollment ID | O20090908000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063553980 | NPI | - | NPPES |
| CG0422 | Other | OH | RAILROAD MEDICARE |
| 2152790 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Marie Pamfilie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104817212 PECOS PAC ID: 0648293688 Enrollment ID: I20060105000408 |
| Provider Name | Susan A Jekielek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922009414 PECOS PAC ID: 9335294768 Enrollment ID: I20100727000424 |
| Provider Name | Terry J Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679574834 PECOS PAC ID: 8426103854 Enrollment ID: I20100727000463 |
| Provider Name | Jenny L Bodnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054849 PECOS PAC ID: 6305113556 Enrollment ID: I20170518002592 |
Inpatient Medical Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5700 Darrow Rd Ste 106, Hudson, OH 44236 Phone: 844-474-4019 | |
Hudson Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Darrow Rd, Hudson, OH 44236 Phone: 330-655-2668 Fax: 330-342-5608 | |
Ohio Heart Attack And Stroke Prevention Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Corporate Dr, 200, Hudson, OH 44236 Phone: 330-653-8020 Fax: 330-342-5608 | |
Summa Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 E Hines Hill Rd, Hudson, OH 44236 Phone: 234-867-6820 | |
Western Reserve Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5778 D Darrow Rd., Hudson, OH 44236 Phone: 330-655-2161 | |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Corporate Dr Ste A, Hudson, OH 44236 Phone: 234-867-7606 |