| Meridia Medical Group Llc | |
|
8316 Yellowbrick Rd Mentor OH 44060-4960 | |
| (440) 205-8818 | |
| (440) 974-1794 |
| Full Name | Meridia Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8316 Yellowbrick Rd, Mentor, Ohio |
| Authorized Official Name and Position | Michael O'connell (V.P OF OPERATIONS) |
| Authorized Official Contact | 2167613300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridia Medical Group Llc 275 Springside Dr Suite 100 Akron OH 44333-4548 Ph: (234) 466-4083 | Meridia Medical Group Llc 8316 Yellowbrick Rd Mentor OH 44060-4960 Ph: (440) 205-8818 |
| NPI Number | 1497948111 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497948111 | NPI | - | NPPES |
| 2716118 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34001608T (Ohio) | Primary |
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Lake County Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 Phone: 440-352-4880 Fax: 440-352-3629 | |
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Bowersox Wound Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6966 Heisley Rd Ste F, Mentor, OH 44060 Phone: 440-488-4575 | |
Wound Think Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5452 Grace Dr, Mentor, OH 44060 Phone: 440-227-2000 | |
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