Midwest Dysphagia Consultants, Llc | |
5710 Wooster Pike Ste 102 Cincinnati OH 45227-4520 | |
(281) 272-6277 | |
(281) 272-6277 |
Full Name | Midwest Dysphagia Consultants, Llc |
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Speciality | Family Medicine |
Location | 5710 Wooster Pike Ste 102, Cincinnati, Ohio |
Authorized Official Name and Position | Ben Baumer (BOM) |
Authorized Official Contact | 8052751834 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Dysphagia Consultants, Llc 1717 Rotary Dr Humble TX 77338-5235 Ph: (281) 272-6277 | Midwest Dysphagia Consultants, Llc 5710 Wooster Pike Ste 102 Cincinnati OH 45227-4520 Ph: (281) 272-6277 |
NPI Number | 1639404171 |
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Provider Enumeration Date | 10/15/2009 |
Last Update Date | 03/26/2019 |
Medicare PECOS PAC ID | 8820360795 |
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Medicare Enrollment ID | O20170828002434 |
Identifier | Type | State | Issuer |
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1639404171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Giavonne D Rondo Hillman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124083514 PECOS PAC ID: 8729050976 Enrollment ID: I20040809001327 |
Provider Name | David F Box |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1346219185 PECOS PAC ID: 7517032493 Enrollment ID: I20080813000119 |
Provider Name | David Hall |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1811912116 PECOS PAC ID: 3173650629 Enrollment ID: I20100415000158 |
Provider Name | Philip Hill |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1467600619 PECOS PAC ID: 7810026689 Enrollment ID: I20100603000974 |
Provider Name | Fakhry Rafiq |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477607695 PECOS PAC ID: 5395769632 Enrollment ID: I20100823000379 |
Provider Name | Luis M Velasco |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093770992 PECOS PAC ID: 2466410634 Enrollment ID: I20110819000037 |
Provider Name | Robert J Leonard |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013337641 PECOS PAC ID: 2860769783 Enrollment ID: I20170525000479 |
Provider Name | Nathan B Baumer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811908619 PECOS PAC ID: 0547256760 Enrollment ID: I20170911002556 |
Provider Name | Gregory L Smith |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1417032905 PECOS PAC ID: 2769408541 Enrollment ID: I20170911002905 |
Provider Name | Ami E Rice |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194984245 PECOS PAC ID: 2567728041 Enrollment ID: I20171116001257 |
Provider Name | Latricia Trena Willis Gillis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699934463 PECOS PAC ID: 5597830836 Enrollment ID: I20180123001303 |
Provider Name | Mary Elizabeth Prentice |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1700993581 PECOS PAC ID: 4183771884 Enrollment ID: I20180216001520 |
Provider Name | Laura Cline |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326534264 PECOS PAC ID: 9133476245 Enrollment ID: I20180720000691 |
Provider Name | Ronnie C. Wiedower |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548226970 PECOS PAC ID: 6103078233 Enrollment ID: I20181011001942 |
Provider Name | Gillbert Daryl Hallman |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013918952 PECOS PAC ID: 8527967785 Enrollment ID: I20181221000701 |
Provider Name | Kevin Krembs |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134209265 PECOS PAC ID: 0042230047 Enrollment ID: I20190501000067 |
Provider Name | Alexei Arkadievich Krainev |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1932586518 PECOS PAC ID: 4183916190 Enrollment ID: I20190930001658 |
Provider Name | Elizabeth Prusak |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255514386 PECOS PAC ID: 1153453352 Enrollment ID: I20200128001516 |
Provider Name | Daniel Alexander Bonnin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841795994 PECOS PAC ID: 9234506718 Enrollment ID: I20221114001436 |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |