| North College Hill Internal Medicine | |
|
1577 Goodman Ave Ste A Cincinnati OH 45224-1044 | |
| (513) 521-3600 | |
| (513) 521-6400 |
| Full Name | North College Hill Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1577 Goodman Ave Ste A, Cincinnati, Ohio |
| Authorized Official Name and Position | Michael Justin (PRESIDENT) |
| Authorized Official Contact | 5135213600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North College Hill Internal Medicine 1577 Goodman Ave Ste A Cincinnati OH 45224-1044 Ph: (513) 521-3600 | North College Hill Internal Medicine 1577 Goodman Ave Ste A Cincinnati OH 45224-1044 Ph: (513) 521-3600 |
| NPI Number | 1245410703 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 0547343188 |
|---|---|
| Medicare Enrollment ID | O20080206000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245410703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
| Provider Name | Michael Justin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023196904 PECOS PAC ID: 8820071095 Enrollment ID: I20040610000382 |
| Provider Name | Angela Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124634605 PECOS PAC ID: 4688087711 Enrollment ID: I20210111002125 |
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