| Northeastern Ohio Medical Specialists Inc | |
|
470 White Pond Dr Ste 100 Akron OH 44320-1185 | |
| (330) 869-8530 | |
| (330) 869-8539 |
| Full Name | Northeastern Ohio Medical Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 470 White Pond Dr Ste 100, Akron, Ohio |
| Authorized Official Name and Position | Shannon Rae Scott (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3308698530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Ohio Medical Specialists Inc 470 White Pond Dr Suite 100 Akron OH 44320-1185 Ph: (330) 869-8530 | Northeastern Ohio Medical Specialists Inc 470 White Pond Dr Ste 100 Akron OH 44320-1185 Ph: (330) 869-8530 |
| NPI Number | 1609959931 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 02/24/2009 |
| Medicare PECOS PAC ID | 7810957347 |
|---|---|
| Medicare Enrollment ID | O20041018001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609959931 | NPI | - | NPPES |
| 2269147 | Medicaid | OH |
| Provider Name | Maher M Mansour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386616134 PECOS PAC ID: 3577466671 Enrollment ID: I20040204000019 |
| Provider Name | Kelly L Moorhead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225020225 PECOS PAC ID: 9638139165 Enrollment ID: I20041020000339 |
| Provider Name | Otto Kausch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104910314 PECOS PAC ID: 3678672169 Enrollment ID: I20070625000304 |
| Provider Name | Leslie B Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336734656 PECOS PAC ID: 5395152987 Enrollment ID: I20210326000945 |
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