| Roman Family Healthcare | |
|
1440 State Route 28 W Greenfield OH 45123-8424 | |
| (937) 981-2880 | |
| Not Available |
| Full Name | Roman Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1440 State Route 28 W, Greenfield, Ohio |
| Authorized Official Name and Position | Charley Roman (OWNER) |
| Authorized Official Contact | 6147065206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Family Healthcare 1440 State Route 28 W Greenfield OH 45123-8424 Ph: () - | Roman Family Healthcare 1440 State Route 28 W Greenfield OH 45123-8424 Ph: (937) 981-2880 |
| NPI Number | 1821654674 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Medicare PECOS PAC ID | 2264764273 |
|---|---|
| Medicare Enrollment ID | O20191024000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821654674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | Charley Allen Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063968469 PECOS PAC ID: 7719109008 Enrollment ID: I20180712001608 |
| Provider Name | Leslie Marie Stegall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356875397 PECOS PAC ID: 3971854720 Enrollment ID: I20180918003928 |
| Provider Name | Gary Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972990836 PECOS PAC ID: 8729494661 Enrollment ID: I20210301002443 |
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