Shadyside Clinic, Llc | |
3948 Central Ave Shadyside OH 43947-1310 | |
(740) 298-2475 | |
Not Available |
Full Name | Shadyside Clinic, Llc |
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Speciality | Clinic/Center |
Location | 3948 Central Ave, Shadyside, Ohio |
Authorized Official Name and Position | Lindsay Twarog (NURSE PRACTITIONER AND OWNER) |
Authorized Official Contact | 7402982475 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shadyside Clinic, Llc 65855 Stone Ridge Dr Belmont OH 43718-9425 Ph: () - | Shadyside Clinic, Llc 3948 Central Ave Shadyside OH 43947-1310 Ph: (740) 298-2475 |
NPI Number | 1093183204 |
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Provider Enumeration Date | 09/03/2015 |
Last Update Date | 09/03/2015 |
Medicare PECOS PAC ID | 9335438423 |
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Medicare Enrollment ID | O20160512001168 |
Identifier | Type | State | Issuer |
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1093183204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 16718NP (Ohio) | Primary |
Provider Name | Lucas Burkhardt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144734781 PECOS PAC ID: 1052671682 Enrollment ID: I20180130002747 |
Shadyside Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Ave, Shadyside, OH 43947 Phone: 740-671-9357 Fax: 740-671-9739 | |
Wheeling Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 Lincoln Ave, Shadyside, OH 43947 Phone: 740-671-9357 Fax: 740-671-9739 | |
Georges Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 Lincoln Ave, Shadyside, OH 43947 Phone: 740-671-0850 Fax: 740-671-0848 | |
Southeast Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3795 Leona Ave, Shadyside, OH 43947 Phone: 614-225-0991 | |
Paramount Medical Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3948 Central Ave, Shadyside, OH 43947 Phone: 740-296-5702 |