Promedica Monroe Physicians Pllc | |
100 Madison Ave Msc-s38805 Toledo OH 43604 | |
(844) 373-0871 | |
(419) 885-3921 |
Full Name | Promedica Monroe Physicians Pllc |
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Speciality | Family Medicine |
Location | 100 Madison Ave, Toledo, Ohio |
Authorized Official Name and Position | Kristin Knueven (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 5675851969 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Promedica Monroe Physicians Pllc 100 Madison Ave Msc-s38805 Toledo OH 43604 Ph: (844) 373-0871 | Promedica Monroe Physicians Pllc 100 Madison Ave Msc-s38805 Toledo OH 43604 Ph: (844) 373-0871 |
NPI Number | 1194078055 |
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Provider Enumeration Date | 10/17/2012 |
Last Update Date | 10/04/2023 |
Medicare PECOS PAC ID | 2365696176 |
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Medicare Enrollment ID | O20130201000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194078055 | NPI | - | NPPES |
Provider Name | Murthy S Madhira |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1477525913 PECOS PAC ID: 2264328921 Enrollment ID: I20040227000810 |
Provider Name | Tatiana Masyk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184624934 PECOS PAC ID: 8325935505 Enrollment ID: I20040302001006 |
Provider Name | Michael J Sorosiak |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1811089048 PECOS PAC ID: 4688562051 Enrollment ID: I20040308000654 |
Provider Name | Erica S Sottile |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1760449995 PECOS PAC ID: 3678461696 Enrollment ID: I20040310000184 |
Provider Name | Kimberly J Jasinski |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1881790145 PECOS PAC ID: 8527958628 Enrollment ID: I20040319000820 |
Provider Name | Layth Maolood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790788701 PECOS PAC ID: 5991699753 Enrollment ID: I20040323000846 |
Provider Name | J Michael Nelson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992790570 PECOS PAC ID: 2769373901 Enrollment ID: I20040324001370 |
Provider Name | Azadeh Khaghany |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1417065855 PECOS PAC ID: 5890771893 Enrollment ID: I20040629001055 |
Provider Name | Denise Sue Deppen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851340301 PECOS PAC ID: 1951361948 Enrollment ID: I20041014000121 |
Provider Name | James M Doyle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982679262 PECOS PAC ID: 3577528652 Enrollment ID: I20041130001100 |
Provider Name | Douglas M Iddings |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1023233384 PECOS PAC ID: 4587621586 Enrollment ID: I20041210000820 |
Provider Name | Mubeen A Memon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568440774 PECOS PAC ID: 3476511403 Enrollment ID: I20041222000393 |
Provider Name | Barnett R Kantz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275509432 PECOS PAC ID: 1153372677 Enrollment ID: I20050202000345 |
Provider Name | Anthony E Melonakos |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1679577621 PECOS PAC ID: 7012960826 Enrollment ID: I20050223000248 |
Provider Name | Heather Nicole Corcoran |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1609983527 PECOS PAC ID: 4486601663 Enrollment ID: I20050331000702 |
Provider Name | Alexander Paul Franko |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548252315 PECOS PAC ID: 6608804208 Enrollment ID: I20050803000507 |
Provider Name | Janet E Hiser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306823182 PECOS PAC ID: 1254360514 Enrollment ID: I20050806000106 |
Provider Name | David A Glancy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1013009323 PECOS PAC ID: 0042233546 Enrollment ID: I20060111000276 |
Provider Name | Michelle Marie Chartier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104897107 PECOS PAC ID: 4486664877 Enrollment ID: I20060501000005 |
Provider Name | Michael J Charboneau |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1619986213 PECOS PAC ID: 1951305853 Enrollment ID: I20060907000397 |
Provider Name | Roger T Kucway |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1417049818 PECOS PAC ID: 9436155306 Enrollment ID: I20061017000255 |
Provider Name | Olga Halstead |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1073701355 PECOS PAC ID: 8921198839 Enrollment ID: I20071215000172 |
Provider Name | Kenneth J Mcnamee |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740287291 PECOS PAC ID: 6103720610 Enrollment ID: I20080506000815 |
Provider Name | Oluchi Opara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396868659 PECOS PAC ID: 2860566825 Enrollment ID: I20080808000562 |
Provider Name | William J Murdoch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841490265 PECOS PAC ID: 1153498217 Enrollment ID: I20080916000416 |
Provider Name | Vanessa J Peters |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1104061613 PECOS PAC ID: 0749344844 Enrollment ID: I20090205000035 |
Provider Name | Brian Stephen Videan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568614386 PECOS PAC ID: 9638234800 Enrollment ID: I20090223000442 |
Provider Name | Susan J Hulsemann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356348718 PECOS PAC ID: 4082673629 Enrollment ID: I20090409000080 |
Provider Name | Matthew Michael Fourman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1881868347 PECOS PAC ID: 9133275969 Enrollment ID: I20090921000442 |
Provider Name | Laura G Grima |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144200650 PECOS PAC ID: 7315061413 Enrollment ID: I20100826000213 |
Provider Name | Cassandra Maksimczak |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1245552561 PECOS PAC ID: 9133244973 Enrollment ID: I20100916000430 |
Provider Name | Jihad Tahsin Abbas |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1245234129 PECOS PAC ID: 7810894425 Enrollment ID: I20100921000440 |
Provider Name | Lisa G Gill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487658308 PECOS PAC ID: 6204884802 Enrollment ID: I20101123000067 |
Provider Name | Sandra K Oetting |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992034458 PECOS PAC ID: 9335338276 Enrollment ID: I20110107000828 |
Provider Name | Clay B Awishes |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1467754267 PECOS PAC ID: 7315127099 Enrollment ID: I20110212000099 |
Provider Name | Bruce Lee Whitaker |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1790923969 PECOS PAC ID: 0446437131 Enrollment ID: I20110606000706 |
Provider Name | Lesa R Chopra |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1396954418 PECOS PAC ID: 0042484818 Enrollment ID: I20111114000731 |
Provider Name | Paul Emmons |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003178377 PECOS PAC ID: 6608026117 Enrollment ID: I20121018000363 |
Provider Name | Jihad Jbara |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821301698 PECOS PAC ID: 7315181195 Enrollment ID: I20130917000605 |
Provider Name | Guo Phoenix |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1396901062 PECOS PAC ID: 5597935643 Enrollment ID: I20140115001493 |
Provider Name | Mark D Sherrard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790781300 PECOS PAC ID: 5496937476 Enrollment ID: I20140221000940 |
Provider Name | Mindy A Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447663257 PECOS PAC ID: 3678790227 Enrollment ID: I20140806000211 |
Provider Name | Krishnavel V Chathadi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417960634 PECOS PAC ID: 2365412293 Enrollment ID: I20140930001266 |
Provider Name | George J Ghuneim |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1881034791 PECOS PAC ID: 9133363369 Enrollment ID: I20141119000931 |
Provider Name | Penny Merkle |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1316336431 PECOS PAC ID: 4789909193 Enrollment ID: I20150205002380 |
Provider Name | Jill L Federer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255655510 PECOS PAC ID: 6507171048 Enrollment ID: I20150813009571 |
Provider Name | Matthew L Edwards |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1073877098 PECOS PAC ID: 9234372335 Enrollment ID: I20150814012874 |
Provider Name | Ramzyeh A Kaid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20150821013084 |
Provider Name | Larry James Mcmann |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164866968 PECOS PAC ID: 0749598381 Enrollment ID: I20151001001914 |
Provider Name | Sukhminder Singh Maan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356617393 PECOS PAC ID: 4880904051 Enrollment ID: I20151030001965 |
Provider Name | Yaser Jbara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306145990 PECOS PAC ID: 2860620465 Enrollment ID: I20151203002903 |
Provider Name | Muhammad Imran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225428584 PECOS PAC ID: 9436464724 Enrollment ID: I20160201002563 |
Provider Name | Catherine R Smart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285092841 PECOS PAC ID: 3971809104 Enrollment ID: I20160314001625 |
Provider Name | Tonisha Monique Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053778332 PECOS PAC ID: 8224334826 Enrollment ID: I20160401000318 |
Provider Name | Nicholas Anthony Poponea |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538579776 PECOS PAC ID: 5092935163 Enrollment ID: I20160615000110 |
Provider Name | Kevin M Kwolek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548608391 PECOS PAC ID: 6305137761 Enrollment ID: I20160615002263 |
Provider Name | Brian Perkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679913594 PECOS PAC ID: 9436440120 Enrollment ID: I20160628001665 |
Provider Name | Kelly K Magrum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043672587 PECOS PAC ID: 3274822481 Enrollment ID: I20160721002339 |
Provider Name | Abhishek Gupta |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1902194830 PECOS PAC ID: 8123337318 Enrollment ID: I20160802000238 |
Provider Name | Mindy Houpt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497128409 PECOS PAC ID: 8022312313 Enrollment ID: I20160927001302 |
Provider Name | Jenelle Hao-galera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043552649 PECOS PAC ID: 1759603822 Enrollment ID: I20161024000295 |
Provider Name | Harleen Kang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144514647 PECOS PAC ID: 9032364245 Enrollment ID: I20161110000299 |
Provider Name | Andrew Thomas Assenmacher |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1578791240 PECOS PAC ID: 1850523077 Enrollment ID: I20161116000292 |
Provider Name | Nazish Khurram |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306188669 PECOS PAC ID: 5193046910 Enrollment ID: I20161213001724 |
Provider Name | Francis Chikadibia Nwanyanwu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871932970 PECOS PAC ID: 5991086258 Enrollment ID: I20170125000902 |
Provider Name | Angela Doris Scardina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346420908 PECOS PAC ID: 0345494563 Enrollment ID: I20170130000089 |
Provider Name | Cathy M Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992247332 PECOS PAC ID: 5496039331 Enrollment ID: I20170221001918 |
Provider Name | Jessica B Wenzel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649719568 PECOS PAC ID: 4789968967 Enrollment ID: I20170307002694 |
Provider Name | Jennifer Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184161317 PECOS PAC ID: 8628346749 Enrollment ID: I20170614001236 |
Provider Name | Kevin Sullivan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346656170 PECOS PAC ID: 2769751833 Enrollment ID: I20170705001461 |
Provider Name | Anastasia Floros |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275948432 PECOS PAC ID: 1850664277 Enrollment ID: I20170907000751 |
Provider Name | Michael W Saad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20171030000341 |
Provider Name | Deanna L Mcclain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275069957 PECOS PAC ID: 4183994247 Enrollment ID: I20171030002489 |
Provider Name | Daniel Emeka Ezekwudo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942649769 PECOS PAC ID: 9931466935 Enrollment ID: I20171129002335 |
Provider Name | Justin L Chamberlain |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1073872743 PECOS PAC ID: 5092947838 Enrollment ID: I20180626003793 |
Provider Name | Nicholas Scott-patrick Freeman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578904884 PECOS PAC ID: 0446578686 Enrollment ID: I20180718004053 |
Provider Name | Fanar Alyas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932468097 PECOS PAC ID: 3173836210 Enrollment ID: I20180809000542 |
Provider Name | Gina C Maki |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1356736300 PECOS PAC ID: 1254648884 Enrollment ID: I20180904001240 |
Provider Name | Abbas Bahari |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1447469176 PECOS PAC ID: 2567699796 Enrollment ID: I20181109000383 |
Provider Name | Melissa Barber |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568797280 PECOS PAC ID: 6901946425 Enrollment ID: I20181128000235 |
Provider Name | Amanda R Manno |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1114367182 PECOS PAC ID: 6901030303 Enrollment ID: I20190315001241 |
Provider Name | Alexandra Rene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437614914 PECOS PAC ID: 2163762709 Enrollment ID: I20190319001771 |
Provider Name | Rachel Reaume |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144787615 PECOS PAC ID: 4880936541 Enrollment ID: I20190429001248 |
Provider Name | David M Macari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992116123 PECOS PAC ID: 6901106848 Enrollment ID: I20190503001419 |
Provider Name | Erin E Losey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871976266 PECOS PAC ID: 6406164391 Enrollment ID: I20190613000064 |
Provider Name | Jessica Madden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366824401 PECOS PAC ID: 2466769260 Enrollment ID: I20190624000612 |
Provider Name | Ahmad Murad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730561804 PECOS PAC ID: 6103127220 Enrollment ID: I20190706000308 |
Provider Name | Michael Anthony Tilson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801242334 PECOS PAC ID: 8426340407 Enrollment ID: I20190709002941 |
Provider Name | Marian E Deames |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891100863 PECOS PAC ID: 6800196718 Enrollment ID: I20190715003204 |
Provider Name | Edward Kresyman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053762641 PECOS PAC ID: 7113253758 Enrollment ID: I20190719001663 |
Provider Name | Steven A Istephan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790135986 PECOS PAC ID: 2062758592 Enrollment ID: I20190806003247 |
Provider Name | Kristen J Bracklein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730255357 PECOS PAC ID: 6507814068 Enrollment ID: I20191105000742 |
Provider Name | Laith J Jacob |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083064000 PECOS PAC ID: 4082909395 Enrollment ID: I20191112001413 |
Provider Name | Fatima Younus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962922013 PECOS PAC ID: 3072936020 Enrollment ID: I20200708003772 |
Provider Name | Justin T Ryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174148712 PECOS PAC ID: 4385068493 Enrollment ID: I20200722002441 |
Provider Name | Syed I Rahman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1619396942 PECOS PAC ID: 2365720745 Enrollment ID: I20200730003063 |
Provider Name | Kerri J Easton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427458561 PECOS PAC ID: 7618199894 Enrollment ID: I20200810002447 |
Provider Name | Earl M Marshall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699296012 PECOS PAC ID: 3476881822 Enrollment ID: I20200827001867 |
Provider Name | Jordan Siewert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730594359 PECOS PAC ID: 4688890908 Enrollment ID: I20200902001576 |
Provider Name | Lai Lai Kwok |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407380884 PECOS PAC ID: 9830460187 Enrollment ID: I20201009000769 |
Provider Name | Gregory T Halstead |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1013458322 PECOS PAC ID: 1557648474 Enrollment ID: I20201014003719 |
Provider Name | Nicole Philippon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255957494 PECOS PAC ID: 9931529260 Enrollment ID: I20201026001869 |
Provider Name | Bilal Alawy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184004541 PECOS PAC ID: 0840551578 Enrollment ID: I20201116000083 |
Provider Name | Ghattas Alkhoury |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215347000 PECOS PAC ID: 1254635253 Enrollment ID: I20201118001623 |
Provider Name | Stacey L Gazan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861981359 PECOS PAC ID: 7517216526 Enrollment ID: I20210204001125 |
Provider Name | Kathleen Carr Naylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669974879 PECOS PAC ID: 7113334079 Enrollment ID: I20210322001745 |
Provider Name | Shonda L Terrazas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043809767 PECOS PAC ID: 2961819552 Enrollment ID: I20210326001219 |
Provider Name | Kristen Kay Massingill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083290464 PECOS PAC ID: 6901215466 Enrollment ID: I20210513000295 |
Provider Name | Mark Zekaj |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1457745416 PECOS PAC ID: 2466757125 Enrollment ID: I20210806000368 |
Provider Name | Mansur Khalid Pathan |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1144615220 PECOS PAC ID: 4385951995 Enrollment ID: I20210819001380 |
Provider Name | Jennifer Ann Grech |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457858847 PECOS PAC ID: 1153684220 Enrollment ID: I20210826000879 |
Provider Name | Sanket D Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548757701 PECOS PAC ID: 6608124953 Enrollment ID: I20210831001070 |
Provider Name | Lisa Gilbert Peleman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407239882 PECOS PAC ID: 8123311008 Enrollment ID: I20210927001116 |
Provider Name | Rebecca Stotz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386215200 PECOS PAC ID: 1850798208 Enrollment ID: I20210928000574 |
Provider Name | David Y Kohn |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1780067975 PECOS PAC ID: 9032423405 Enrollment ID: I20211122000565 |
Provider Name | Tara M Baldwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801544796 PECOS PAC ID: 8527454735 Enrollment ID: I20220414001603 |
Provider Name | Justin West |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1639643075 PECOS PAC ID: 9335481068 Enrollment ID: I20220510001094 |
Provider Name | Resha Khanal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215498381 PECOS PAC ID: 8325429582 Enrollment ID: I20220719002010 |
Provider Name | Roger Nightengale |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508428632 PECOS PAC ID: 9335478981 Enrollment ID: I20220727000554 |
Provider Name | Abdulbaset M Salim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104385061 PECOS PAC ID: 8123350626 Enrollment ID: I20220919001792 |
Provider Name | Jennifer R Burke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1710424361 PECOS PAC ID: 1658655600 Enrollment ID: I20220922002955 |
Provider Name | Katherine L Gandert |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1811491582 PECOS PAC ID: 4587916713 Enrollment ID: I20220923000157 |
Provider Name | Kristyn N Reser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942810338 PECOS PAC ID: 9931508652 Enrollment ID: I20221010002721 |
Provider Name | Fehad Wasfi Shalhout |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346803277 PECOS PAC ID: 0244608404 Enrollment ID: I20221118000424 |
Provider Name | Jessica Chhan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225753825 PECOS PAC ID: 9638547680 Enrollment ID: I20221122001861 |
Provider Name | Mohamed B Mansour |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710332606 PECOS PAC ID: 2365734365 Enrollment ID: I20221202000867 |
Provider Name | Joshua Essel |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902148919 PECOS PAC ID: 4284914003 Enrollment ID: I20221214002413 |
Provider Name | Nicole Marie Katzakis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639817323 PECOS PAC ID: 6204206816 Enrollment ID: I20221222002217 |
Provider Name | Cynthia Major |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780221002 PECOS PAC ID: 6800221342 Enrollment ID: I20230119002893 |
Provider Name | Saad S Chaudhry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255836698 PECOS PAC ID: 6507113529 Enrollment ID: I20230125000440 |
Provider Name | Rachel R Groat |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1790497055 PECOS PAC ID: 3971974080 Enrollment ID: I20230128000324 |
Provider Name | Jillian Vanhouten |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992419717 PECOS PAC ID: 8527439629 Enrollment ID: I20230207000580 |
Provider Name | Amanda Weiland |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1336852102 PECOS PAC ID: 3870965528 Enrollment ID: I20230207001710 |
Provider Name | Kayla M Lockhart |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1811556137 PECOS PAC ID: 6406228147 Enrollment ID: I20230320001112 |
Provider Name | Billie Jo Stopa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669179800 PECOS PAC ID: 0345606661 Enrollment ID: I20230511001907 |
Provider Name | Ahmed Adnan Aldais |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548886005 PECOS PAC ID: 1052765393 Enrollment ID: I20230920003722 |
Provider Name | Nivhan Arumugasamy |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982223186 PECOS PAC ID: 1355763004 Enrollment ID: I20231009002365 |
Provider Name | Faiza Fakhar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124441449 PECOS PAC ID: 8022331842 Enrollment ID: I20240311003220 |
Zepf Community Mental Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Nebraska Ave, Toledo, OH 43607 Phone: 419-255-4050 Fax: 419-720-7895 | |
Harbor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6629 W Central Ave, Toledo, OH 43617 Phone: 419-475-4449 | |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 | |
Randall Mccormick Toledo Internal Medicine Spec Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Cherry St, Ste 207, Toledo, OH 43608 Phone: 419-251-7672 Fax: 419-251-6785 | |
Sportscare Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 N Reynolds Rd Ste 140, Toledo, OH 43615 Phone: 419-578-7590 Fax: 419-537-5605 | |
Tracey Warren Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 | |
Woodward Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Central Ave, Toledo, OH 43608 Phone: 419-221-3072 |