Primary Care Physician Associates, Inc. | |
3951 Convenience Cir Nw Ste 100 Canton OH 44718-2686 | |
(330) 499-9944 | |
(330) 499-3084 |
Full Name | Primary Care Physician Associates, Inc. |
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Speciality | Internal Medicine |
Location | 3951 Convenience Cir Nw Ste 100, Canton, Ohio |
Authorized Official Name and Position | Betsy Kendis (OWNER) |
Authorized Official Contact | 3304999944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Physician Associates, Inc. 3951 Convenience Cir Nw Ste 100 Canton OH 44718-2686 Ph: (330) 499-9944 | Primary Care Physician Associates, Inc. 3951 Convenience Cir Nw Ste 100 Canton OH 44718-2686 Ph: (330) 499-9944 |
NPI Number | 1528073368 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 06/24/2024 |
Medicare PECOS PAC ID | 4082673678 |
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Medicare Enrollment ID | O20041008000437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528073368 | NPI | - | NPPES |
0277150 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Karin Riggs |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801897558 PECOS PAC ID: 7618936204 Enrollment ID: I20100305000017 |
Provider Name | Betsy Kendis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326049081 PECOS PAC ID: 2365570793 Enrollment ID: I20100505001030 |
Provider Name | Carrie Ross Quinlan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942711254 PECOS PAC ID: 2163788910 Enrollment ID: I20171109003595 |
Provider Name | Hannah Eckberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417503921 PECOS PAC ID: 4880923473 Enrollment ID: I20190906001938 |
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