| Internal Medicine Of Springfield, Llc | |
|
1835 E High St Springfield OH 45505-5210 | |
| (937) 323-8804 | |
| (888) 922-5090 |
| Full Name | Internal Medicine Of Springfield, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1835 E High St, Springfield, Ohio |
| Authorized Official Name and Position | Yoichi Charley Imamura (PRESIDENT) |
| Authorized Official Contact | 9393238804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Springfield, Llc 1835 E High St Springfield OH 45505-5210 Ph: (937) 323-8804 | Internal Medicine Of Springfield, Llc 1835 E High St Springfield OH 45505-5210 Ph: (937) 323-8804 |
| NPI Number | 1114104502 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114104502 | NPI | - | NPPES |
| 110182531 | Other | OH | RR MEDICARE |
| 2025267 | Medicaid | OH | |
| 706669 | Other | OH | AETNA |
| 110182531 | Other | OH | RAIL ROAD MEDICARE PTAN |
| 101046 | Other | OH | BLACK LUNG |
| 34187577027 | Other | OH | CARESOURCE |
| 56969067500 | Other | OH | WORKERS COMP |
| 000000035503 | Other | OH | ANTHEM |
| 0403252 | Other | OH | UHC |
| 569690675009 | Other | OH | MEDICAL MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35070875 (Ohio) | Primary |
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