| |
4001 Carrick Dr Ste 210 Medina OH 44256-5393 | |
(330) 725-3009 | |
(330) 722-7502 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 4001 Carrick Dr Ste 210, Medina, Ohio |
Authorized Official Name and Position | Steve Riddle (DIRECTOR OF BILLING SERVICES) |
Authorized Official Contact | 2163836480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 8792 Belfast ME 04915-8792 Ph: (330) 725-3009 | 4001 Carrick Dr Ste 210 Medina OH 44256-5393 Ph: (330) 725-3009 |
NPI Number | 1295865087 |
---|---|
Provider Enumeration Date | 03/07/2007 |
Last Update Date | 01/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295865087 | NPI | - | NPPES |
2307266 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Kase, Speelman, &cullen, M.d.'s, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 E Washington St, Ste 4b, Medina, OH 44256 Phone: 330-723-3256 Fax: 330-722-6731 | |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 108, Medina, OH 44256 Phone: 216-265-8844 Fax: 216-265-8890 |