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1020 Varland Ave Toledo OH 43605-3245 | |
| (419) 696-1515 | |
| (419) 696-1529 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 Varland Ave, Toledo, Ohio |
| Authorized Official Name and Position | Sandra D Miller-corbett (CEO) |
| Authorized Official Contact | 4197207883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
313 Jefferson Ave Toledo OH 43604-1004 Ph: (419) 720-7883 | 1020 Varland Ave Toledo OH 43605-3245 Ph: (419) 696-1515 |
| NPI Number | 1912330689 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 04/05/2016 |
| Medicare PECOS PAC ID | 5698686665 |
|---|---|
| Medicare Enrollment ID | O20140228001224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912330689 | NPI | - | NPPES |
| 0119309 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Barbara J Francis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891903555 PECOS PAC ID: 8224139456 Enrollment ID: I20101019000504 |
| Provider Name | Darla G Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669772885 PECOS PAC ID: 3173710795 Enrollment ID: I20101208001237 |
| Provider Name | Ryan Oertell Lakin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366693772 PECOS PAC ID: 1759557218 Enrollment ID: I20120104000700 |
| Provider Name | Jennifer K Fallon-delucia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356677603 PECOS PAC ID: 2860624046 Enrollment ID: I20140423000357 |
| Provider Name | Karen A Tormoehlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174843262 PECOS PAC ID: 6901075936 Enrollment ID: I20150318001013 |
| Provider Name | Wendy Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033588025 PECOS PAC ID: 4284934084 Enrollment ID: I20151201000921 |
| Provider Name | Fidelis Ikechukwu Obu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780004572 PECOS PAC ID: 8820364102 Enrollment ID: I20171101001933 |
| Provider Name | Brittaney Alice Oates |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376091397 PECOS PAC ID: 6103106828 Enrollment ID: I20180626001208 |
| Provider Name | Michelle Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982198917 PECOS PAC ID: 9739439936 Enrollment ID: I20180910002201 |
| Provider Name | Jaclyn M Debruyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982183554 PECOS PAC ID: 9335490820 Enrollment ID: I20180921002522 |
| Provider Name | Bridget Aileen Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811482953 PECOS PAC ID: 8820330178 Enrollment ID: I20200204003062 |
| Provider Name | Rachel Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467053827 PECOS PAC ID: 7416367073 Enrollment ID: I20201110002265 |
| Provider Name | Edith Ncapsah Asah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144539362 PECOS PAC ID: 6709291073 Enrollment ID: I20210218001559 |
| Provider Name | Danielle Goodell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841755329 PECOS PAC ID: 0446667117 Enrollment ID: I20210608002909 |
| Provider Name | Sara Anne Rynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306564414 PECOS PAC ID: 7113303843 Enrollment ID: I20231208002016 |
| Provider Name | Lauri Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144801390 PECOS PAC ID: 2769886621 Enrollment ID: I20231222002340 |
| Provider Name | Tamara Bumpus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992015994 PECOS PAC ID: 4183884265 Enrollment ID: I20240228000773 |
| Provider Name | Ahmad Ragheb Assaly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902483837 PECOS PAC ID: 9537560107 Enrollment ID: I20241008003381 |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 | |
Randall Mccormick Toledo Internal Medicine Spec Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Cherry St, Ste 207, Toledo, OH 43608 Phone: 419-251-7672 Fax: 419-251-6785 | |
Sportscare Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 N Reynolds Rd Ste 140, Toledo, OH 43615 Phone: 419-578-7590 Fax: 419-537-5605 | |
Tracey Warren Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 | |