Irwin Family Care, Pc | |
905 Spruce St Ste 201 Irwin PA 15642-3683 | |
(724) 864-9595 | |
(724) 864-9860 |
Full Name | Irwin Family Care, Pc |
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Speciality | Family Medicine |
Location | 905 Spruce St Ste 201, Irwin, Pennsylvania |
Authorized Official Name and Position | Jawdat A Nikoula (MD/ OWNER) |
Authorized Official Contact | 7248649595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Irwin Family Care, Pc 905 Spruce St Irwin PA 15642-3683 Ph: (724) 864-9595 | Irwin Family Care, Pc 905 Spruce St Ste 201 Irwin PA 15642-3683 Ph: (724) 864-9595 |
NPI Number | 1427096577 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 10/15/2022 |
Medicare PECOS PAC ID | 9638083173 |
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Medicare Enrollment ID | O20031118000612 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427096577 | NPI | - | NPPES |
0012633100002 | Medicaid | PA |
Provider Name | Jawdat A Nikoula |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144228453 PECOS PAC ID: 2264338870 Enrollment ID: I20040721001088 |
Provider Name | James Y Lim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326167883 PECOS PAC ID: 1254495971 Enrollment ID: I20090126000104 |
Provider Name | Mark C Gottron |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093713968 PECOS PAC ID: 3870623317 Enrollment ID: I20100610000377 |
Provider Name | Vincent A Golik |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104226547 PECOS PAC ID: 4688987381 Enrollment ID: I20150724010074 |
Provider Name | Ruba Nicola |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760862171 PECOS PAC ID: 8729385604 Enrollment ID: I20180628002062 |
Provider Name | Behnam L Hatam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033753256 PECOS PAC ID: 2668803222 Enrollment ID: I20200514001816 |
Provider Name | Jad Sallit |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316501141 PECOS PAC ID: 3577897222 Enrollment ID: I20220809000033 |
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