| Northtowne Family Practice | |
|
5910 Cleveland Avenue Columbus OH 43231 | |
| (614) 888-2450 | |
| Not Available |
| Full Name | Northtowne Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 5910 Cleveland Avenue, Columbus, Ohio |
| Authorized Official Name and Position | Rajeswari A Lingamneni (OWNER) |
| Authorized Official Contact | 6148882450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northtowne Family Practice 5910 Cleveland Avenue Columbus OH 43231 Ph: (614) 888-2450 | Northtowne Family Practice 5910 Cleveland Avenue Columbus OH 43231 Ph: (614) 888-2450 |
| NPI Number | 1598882904 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 0648203208 |
|---|---|
| Medicare Enrollment ID | O20141208002458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598882904 | NPI | - | NPPES |
| 2273098 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35078171 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rajeswari Atluri Lingamneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972571321 PECOS PAC ID: 6800829474 Enrollment ID: I20100524000028 |
| Provider Name | Rebecca S Ingersoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174906697 PECOS PAC ID: 9234442260 Enrollment ID: I20150721000569 |
| Provider Name | Samuel A Boateng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033740824 PECOS PAC ID: 5799114708 Enrollment ID: I20200326001071 |
| Provider Name | Victorine Ndematebem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548035637 PECOS PAC ID: 0648619387 Enrollment ID: I20240415002545 |
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