| Onhealthcare | |
|
35 Augusta Ave Ft Wright KY 41011-3603 | |
| (248) 528-1981 | |
| (248) 528-2963 |
| Full Name | Onhealthcare |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 35 Augusta Ave, Ft Wright, Kentucky |
| Authorized Official Name and Position | Jeffrey Leider (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2485281981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onhealthcare 1200 Kirts Blvd Suite 200 Troy MI 48084-4899 Ph: (248) 528-1981 | Onhealthcare 35 Augusta Ave Ft Wright KY 41011-3603 Ph: (248) 528-1981 |
| NPI Number | 1063788818 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063788818 | NPI | - | NPPES |
| 7100198660 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Madison Pike - Ft Wright Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 Eaton Dr, Ft Wright, KY 41017 Phone: 859-331-3529 Fax: 407-866-2842 |