| Caa Health Center At Lisbon | |
|
7880 Lincole Pl Lisbon OH 44432-8322 | |
| (330) 424-5686 | |
| (330) 424-4012 |
| Full Name | Caa Health Center At Lisbon |
|---|---|
| Speciality | Clinic/Center |
| Location | 7880 Lincole Pl, Lisbon, Ohio |
| Authorized Official Name and Position | Jenna Wonner (COO) |
| Authorized Official Contact | 3304247221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caa Health Center At Lisbon 7880 Lincole Pl Lisbon OH 44432-8322 Ph: (330) 424-5686 | Caa Health Center At Lisbon 7880 Lincole Pl Lisbon OH 44432-8322 Ph: (330) 424-5686 |
| NPI Number | 1821041401 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 09/11/2020 |
| Medicare PECOS PAC ID | 8123928645 |
|---|---|
| Medicare Enrollment ID | O20150807014972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821041401 | NPI | - | NPPES |
| 0968663 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Joseph Sitarik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669543906 PECOS PAC ID: 9830120450 Enrollment ID: I20050824000033 |
| Provider Name | Kristi A Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023099298 PECOS PAC ID: 6800813775 Enrollment ID: I20060925000349 |
| Provider Name | Andrea G Eshelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689829137 PECOS PAC ID: 0345379467 Enrollment ID: I20100528000322 |
| Provider Name | Lorraine M Wonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518269661 PECOS PAC ID: 6204006083 Enrollment ID: I20110906000135 |
| Provider Name | Breanne M Montero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194153288 PECOS PAC ID: 8628292810 Enrollment ID: I20140609001619 |
| Provider Name | Loren J Louk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093131468 PECOS PAC ID: 9739498908 Enrollment ID: I20151029001136 |
| Provider Name | Morgan K Shasteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851707814 PECOS PAC ID: 9436468600 Enrollment ID: I20151029001273 |
| Provider Name | Diane L Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902247752 PECOS PAC ID: 0840509022 Enrollment ID: I20151029001459 |
| Provider Name | Brian J Szelc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225451750 PECOS PAC ID: 9739499781 Enrollment ID: I20151104000865 |
| Provider Name | Abhay Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124469408 PECOS PAC ID: 3577861442 Enrollment ID: I20161007000343 |
| Provider Name | Marybeth D Shaffer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952380354 PECOS PAC ID: 0042525057 Enrollment ID: I20180913003176 |
| Provider Name | Brooke Loren Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871063701 PECOS PAC ID: 2961734058 Enrollment ID: I20191022002299 |
| Provider Name | Kaley Nicole Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407341977 PECOS PAC ID: 7517388754 Enrollment ID: I20200526003213 |
Lisbon Community Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38722 Saltwell Rd, Lisbon, OH 44432 Phone: 330-424-4192 Fax: 330-424-3137 | |
George S. Wilson, Do Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 356 E Lincoln Way, Lisbon, OH 44432 Phone: 330-420-0200 Fax: 330-420-0210 | |
Family Health Care Of Columbiana County Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 356 E Lincoln Way, Lisbon, OH 44432 Phone: 330-424-1404 Fax: 330-424-1811 |