| Metropolitan Family Care, Inc. | |
|
3341 E Livingston Ave Ste D Suite D Columbus OH 43227-1949 | |
| (614) 237-1067 | |
| (614) 237-2655 |
| Full Name | Metropolitan Family Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3341 E Livingston Ave Ste D, Columbus, Ohio |
| Authorized Official Name and Position | Shirfa Tyberg (PRESIDENT) |
| Authorized Official Contact | 6142371067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Family Care, Inc. 3341 E Livingston Ave Ste D Columbus OH 43227-1949 Ph: (614) 237-1067 | Metropolitan Family Care, Inc. 3341 E Livingston Ave Ste D Suite D Columbus OH 43227-1949 Ph: (614) 237-1067 |
| NPI Number | 1912066499 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 1355307141 |
|---|---|
| Medicare Enrollment ID | O20041203000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912066499 | NPI | - | NPPES |
| 0802000 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35060121 (Ohio) | Primary |
| Provider Name | Jeffrey Alexander Meiring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639237332 PECOS PAC ID: 7618865197 Enrollment ID: I20080321000003 |
| Provider Name | Tonya M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720218654 PECOS PAC ID: 6002952876 Enrollment ID: I20091008000075 |
| Provider Name | Stephen Arthur Stack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316985146 PECOS PAC ID: 5799741583 Enrollment ID: I20100810000733 |
| Provider Name | Cassandra Suggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942255781 PECOS PAC ID: 0345206132 Enrollment ID: I20100922000673 |
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