| Pch Physician Services | |
|
1032 W. Wayne St Paulding OH 45879-1545 | |
| (419) 399-1104 | |
| (419) 399-5560 |
| Full Name | Pch Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1032 W. Wayne St, Paulding, Ohio |
| Authorized Official Name and Position | Jeanise Diane Denning (CREDENTIALING) |
| Authorized Official Contact | 4193991104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pch Physician Services 1032 W Wayne St Paulding OH 45879-1545 Ph: (419) 399-1104 | Pch Physician Services 1032 W. Wayne St Paulding OH 45879-1545 Ph: (419) 399-1104 |
| NPI Number | 1891744843 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 8820983893 |
|---|---|
| Medicare Enrollment ID | O20040218000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891744843 | NPI | - | NPPES |
| 2113126 | Medicaid | OH | |
| 9299274 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Hussein I Kashk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053317073 PECOS PAC ID: 0244132538 Enrollment ID: I20040126000907 |
| Provider Name | Ameer Kabour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861485104 PECOS PAC ID: 1254326606 Enrollment ID: I20040416000242 |
| Provider Name | Kamran Rafiq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942395546 PECOS PAC ID: 7517945009 Enrollment ID: I20040712000207 |
| Provider Name | Timothy Harvey Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154414837 PECOS PAC ID: 1759357734 Enrollment ID: I20040909001449 |
| Provider Name | Wendell James Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174573968 PECOS PAC ID: 7315904364 Enrollment ID: I20041213000002 |
| Provider Name | Virginia Halachanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417906272 PECOS PAC ID: 4587621537 Enrollment ID: I20041213000008 |
| Provider Name | Eiad W Omran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023105509 PECOS PAC ID: 6709850019 Enrollment ID: I20050408000001 |
| Provider Name | Melanie A Schramm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902908924 PECOS PAC ID: 9739115783 Enrollment ID: I20060927000593 |
| Provider Name | Craig E Hanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578600565 PECOS PAC ID: 6608886874 Enrollment ID: I20080327000470 |
| Provider Name | Shane Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548309503 PECOS PAC ID: 1355427584 Enrollment ID: I20080327000491 |
| Provider Name | Joseph M Kuhn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700804457 PECOS PAC ID: 2567594435 Enrollment ID: I20100713000739 |
| Provider Name | Nauman Shahid |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396901245 PECOS PAC ID: 7113071838 Enrollment ID: I20100924001081 |
| Provider Name | Laurie A Barkway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003870031 PECOS PAC ID: 9133195506 Enrollment ID: I20120223000345 |
| Provider Name | Julie L Arend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770997918 PECOS PAC ID: 9739304445 Enrollment ID: I20160108002084 |
| Provider Name | Hesham Mostafa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780978866 PECOS PAC ID: 2264736206 Enrollment ID: I20170615002596 |
| Provider Name | Omar Khan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972898856 PECOS PAC ID: 7517261308 Enrollment ID: I20170619001357 |
| Provider Name | Jacob A Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417470089 PECOS PAC ID: 2062788151 Enrollment ID: I20171017002147 |
| Provider Name | Daniel Sullivan Murtagh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376801027 PECOS PAC ID: 0547564338 Enrollment ID: I20180605001968 |
| Provider Name | Bradley Joseph Buck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831463181 PECOS PAC ID: 4587968375 Enrollment ID: I20180619003556 |
| Provider Name | Nigel F Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194110775 PECOS PAC ID: 1658686373 Enrollment ID: I20190312003226 |
| Provider Name | Melanie J Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003425497 PECOS PAC ID: 3072933555 Enrollment ID: I20201022000866 |
| Provider Name | Sarah Kayleigh Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093210296 PECOS PAC ID: 4981950524 Enrollment ID: I20220210002797 |
| Provider Name | Matthew Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023646619 PECOS PAC ID: 8820410194 Enrollment ID: I20220512000459 |
Paulding Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11550 State Route 500, Paulding, OH 45879 Phone: 419-399-2630 Fax: 419-399-3039 |