| Ridgepark Family Practice | |
|
5500 Ridge Road Suite 120 Parma OH 44129-2367 | |
| (216) 398-5535 | |
| (440) 882-3304 |
| Full Name | Ridgepark Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 5500 Ridge Road, Parma, Ohio |
| Authorized Official Name and Position | Diane Marie Kushnar (PRESIDENT/OWNER) |
| Authorized Official Contact | 2163985535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgepark Family Practice 5500 Ridge Road Suite 120 Parma OH 44129 Ph: (216) 398-5535 | Ridgepark Family Practice 5500 Ridge Road Suite 120 Parma OH 44129-2367 Ph: (216) 398-5535 |
| NPI Number | 1932386919 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 02/17/2012 |
| Medicare PECOS PAC ID | 4789607375 |
|---|---|
| Medicare Enrollment ID | O20060110000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932386919 | NPI | - | NPPES |
| 2651938 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Diane M Kushnar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659473858 PECOS PAC ID: 2062486624 Enrollment ID: I20040820000715 |
Ohio Permanente Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12301 Snow Rd, Parma, OH 44130 Phone: 216-265-8810 Fax: 216-265-8890 | |
Shoreway Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6739 Ridge Road, Parma, OH 44129 Phone: 440-887-9605 Fax: 440-887-9606 | |
Smart Quest Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5357 Broadview Rd, Parma, OH 44134 Phone: 216-273-7450 Fax: 216-239-0683 | |
Yong Jae Song Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6731 Ridge Rd, Suite 302, Parma, OH 44129 Phone: 440-843-7772 Fax: 440-845-0430 | |
Ohio Wound Care Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6789 Ridge Rd Ste 305, Parma, OH 44129 Phone: 323-434-9441 Fax: 323-433-9177 | |
Raisa Lerner Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Rockside Rd, Suite 215 A, Parma, OH 44134 Phone: 216-398-4898 Fax: 216-398-4884 | |
Daniela Susoiu Tcaciuc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6681 Ridge Rd, Suite 400, Parma, OH 44129 Phone: 440-743-2450 Fax: 440-743-2451 |