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7921 Jessies Way Hamilton OH 45011-8077 | |
(513) 844-1111 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 7921 Jessies Way, Hamilton, Ohio |
Authorized Official Name and Position | Domenic A Bermudez (LEAD ADVANCED PRACTICE PROVIDER) |
Authorized Official Contact | 5138441111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7921 Jessies Way Hamilton OH 45011-8077 Ph: () - | 7921 Jessies Way Hamilton OH 45011-8077 Ph: (513) 844-1111 |
NPI Number | 1811623713 |
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Provider Enumeration Date | 07/25/2022 |
Last Update Date | 04/12/2023 |
Medicare PECOS PAC ID | 7719356708 |
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Medicare Enrollment ID | O20221214001245 |
Identifier | Type | State | Issuer |
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1811623713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Sanju A Varghese |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1780629956 PECOS PAC ID: 6709898158 Enrollment ID: I20060629000108 |
Provider Name | Elizabeth C Matre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366899486 PECOS PAC ID: 6800187956 Enrollment ID: I20160620001925 |
Provider Name | Dominic Brandy |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1417019613 PECOS PAC ID: 2769530559 Enrollment ID: I20230309002218 |
Usmd Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N E St, Hamilton, OH 45013 Phone: 513-893-3300 | |
Family Medical Care Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9582 Princeton Glendale Rd, Hamilton, OH 45011 Phone: 513-346-5640 Fax: 513-346-5644 | |
Comprehensive Internal Medicine Associates, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 Cereal Ave, Suite 208, Hamilton, OH 45013 Phone: 513-867-3330 Fax: 513-867-2728 | |
Andrew Hear Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2275 Millville Ave Ste A, Hamilton, OH 45013 Phone: 513-892-3086 |