| South Central Family Physicians Inc | |
|
3529 Fortuna Dr Akron OH 44312-5282 | |
| (330) 644-0022 | |
| (330) 644-0328 |
| Full Name | South Central Family Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3529 Fortuna Dr, Akron, Ohio |
| Authorized Official Name and Position | Jeffrey D Kile (PRESIDENT) |
| Authorized Official Contact | 3306440022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Family Physicians Inc 3529 Fortuna Dr Akron OH 44312-5282 Ph: (330) 644-0022 | South Central Family Physicians Inc 3529 Fortuna Dr Akron OH 44312-5282 Ph: (330) 644-0022 |
| NPI Number | 1861571176 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 03/02/2012 |
| Medicare PECOS PAC ID | 4486813912 |
|---|---|
| Medicare Enrollment ID | O20120301000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861571176 | NPI | - | NPPES |
| 0909977 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey D Kile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407958556 PECOS PAC ID: 2860523057 Enrollment ID: I20100702000253 |
| Provider Name | David L Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659473791 PECOS PAC ID: 6608035571 Enrollment ID: I20120327000689 |
| Provider Name | Michael A Derubeis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366544413 PECOS PAC ID: 6901065333 Enrollment ID: I20120405000359 |
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