| I Am I Am Inc | |
|
7734 Pearl Rd Suite 1b Middleburg Hts OH 44130 | |
| (877) 426-0426 | |
| Not Available |
| Full Name | I Am I Am Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7734 Pearl Rd, Middleburg Hts, Ohio |
| Authorized Official Name and Position | Elena Gonzalez (CNP/OWNER) |
| Authorized Official Contact | 8774260426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I Am I Am Inc 7734 Pearl Rd Suite 1b Middleburg Hts OH 44130 Ph: (877) 426-0426 | I Am I Am Inc 7734 Pearl Rd Suite 1b Middleburg Hts OH 44130 Ph: (877) 426-0426 |
| NPI Number | 1245017854 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/08/2023 |
| Medicare PECOS PAC ID | 4880049303 |
|---|---|
| Medicare Enrollment ID | O20231018001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245017854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elena T Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255853529 PECOS PAC ID: 9537425905 Enrollment ID: I20171117002588 |
Ohio State Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Road, 121, Reh Unit, Southwest General Health Center, Middleburg Hts, OH 44130 Phone: 440-816-8678 |