| Partners In Family Practice | |
|
4048 Dressler Rd Nw Suite 203 Canton OH 44718-2784 | |
| (330) 478-4132 | |
| (330) 478-3341 |
| Full Name | Partners In Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 4048 Dressler Rd Nw, Canton, Ohio |
| Authorized Official Name and Position | Jenny R Harter (OFFICE MANAGER) |
| Authorized Official Contact | 3304784132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Family Practice 4048 Dressler Rd Nw Suite 203 Canton OH 44718-2784 Ph: (330) 478-4132 | Partners In Family Practice 4048 Dressler Rd Nw Suite 203 Canton OH 44718-2784 Ph: (330) 478-4132 |
| NPI Number | 1942237276 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 4981680030 |
|---|---|
| Medicare Enrollment ID | O20040628001684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942237276 | NPI | - | NPPES |
| 2491638 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tammy Lynn Eisentrout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669437844 PECOS PAC ID: 6709862857 Enrollment ID: I20040630001049 |
| Provider Name | Gina M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821122441 PECOS PAC ID: 5193874733 Enrollment ID: I20090601000269 |
| Provider Name | Marian Kathleen Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386399822 PECOS PAC ID: 1951784487 Enrollment ID: I20220817000244 |
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