| Nextdoor Urgent Care Llc | |
|
4515 Mayfield Rd South Euclid OH 44121-4016 | |
| (330) 881-2713 | |
| Not Available |
| Full Name | Nextdoor Urgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4515 Mayfield Rd, South Euclid, Ohio |
| Authorized Official Name and Position | Dixie Jenkins (MANAGER) |
| Authorized Official Contact | 4408098650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nextdoor Urgent Care Llc 4515 Mayfield Rd South Euclid OH 44121-4016 Ph: () - | Nextdoor Urgent Care Llc 4515 Mayfield Rd South Euclid OH 44121-4016 Ph: (330) 881-2713 |
| NPI Number | 1114639424 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 3971968389 |
|---|---|
| Medicare Enrollment ID | O20230508000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114639424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Tarik Anthony Atassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538694187 PECOS PAC ID: 1355608480 Enrollment ID: I20200616002063 |
| Provider Name | Laura Augusta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043977911 PECOS PAC ID: 1658761200 Enrollment ID: I20211214001326 |
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