| Infusion Associates Of Ohio Llc | |
|
2000 Regency Ct. Toledo OH 43623 | |
| (616) 954-0600 | |
| (616) 954-1675 |
| Full Name | Infusion Associates Of Ohio Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 Regency Ct., Toledo, Ohio |
| Authorized Official Name and Position | Khan J Nedd (OWNER) |
| Authorized Official Contact | 6169540600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infusion Associates Of Ohio Llc 3310 Eagle Park Dr. Ne, Ste. 200 Grand Rapids MI 49525 Ph: (616) 954-0600 | Infusion Associates Of Ohio Llc 2000 Regency Ct. Toledo OH 43623 Ph: (616) 954-0600 |
| NPI Number | 1144966466 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 3072995646 |
|---|---|
| Medicare Enrollment ID | O20220728001607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144966466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Primary |
| Provider Name | Michelle G Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225403041 PECOS PAC ID: 5991099749 Enrollment ID: I20160802002625 |
| Provider Name | Jennifer J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233613 PECOS PAC ID: 2365787181 Enrollment ID: I20181226002228 |
| Provider Name | Michael L Mawby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720084114 PECOS PAC ID: 2163442914 Enrollment ID: I20220815000180 |
| Provider Name | Jacqueline A Curiston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336779958 PECOS PAC ID: 2264860345 Enrollment ID: I20230503002383 |
| Provider Name | Denise A Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265456198 PECOS PAC ID: 7113231705 Enrollment ID: I20230606000988 |
| Provider Name | Danyielle Krista Jernukian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861097263 PECOS PAC ID: 0446662431 Enrollment ID: I20240417003785 |
| Provider Name | Zeinab Berjaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659972339 PECOS PAC ID: 8628463973 Enrollment ID: I20240528003674 |
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