| Quest Primary Care Llc | |
|
1176 E Home Rd Springfield OH 45503-2726 | |
| (937) 342-9861 | |
| (937) 390-7146 |
| Full Name | Quest Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1176 E Home Rd, Springfield, Ohio |
| Authorized Official Name and Position | Evan Erickson (OWNER/PARTNER) |
| Authorized Official Contact | 9373429861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Primary Care Llc 1176 E Home Rd Springfield OH 45503-2726 Ph: (937) 342-9861 | Quest Primary Care Llc 1176 E Home Rd Springfield OH 45503-2726 Ph: (937) 342-9861 |
| NPI Number | 1588057533 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/03/2016 |
| Medicare PECOS PAC ID | 1850610726 |
|---|---|
| Medicare Enrollment ID | O20150428001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588057533 | NPI | - | NPPES |
| 0135772 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sarah M Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518404409 PECOS PAC ID: 9638453384 Enrollment ID: I20170224002394 |
| Provider Name | Lirong Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831744341 PECOS PAC ID: 0345672580 Enrollment ID: I20191108002864 |
| Provider Name | Julie Ann Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044158 PECOS PAC ID: 9234563370 Enrollment ID: I20191226001883 |
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