| South Court Family Physicians Inc | |
|
1075 S Court St Suite 100 Medina OH 44256-4354 | |
| (330) 722-6337 | |
| (330) 722-0481 |
| Full Name | South Court Family Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1075 S Court St, Medina, Ohio |
| Authorized Official Name and Position | Jennifer L Hodges (OFFICE MANAGER) |
| Authorized Official Contact | 3307226337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Court Family Physicians Inc 1075 S Court St Suite 100 Medina OH 44256-4354 Ph: (330) 722-6337 | South Court Family Physicians Inc 1075 S Court St Suite 100 Medina OH 44256-4354 Ph: (330) 722-6337 |
| NPI Number | 1922206291 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 12/14/2009 |
| Medicare PECOS PAC ID | 4183617863 |
|---|---|
| Medicare Enrollment ID | O20040407000929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922206291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35077002B (Ohio) | Primary |
| 363A00000X | Physician Assistant | 50-002583 (Ohio) | Secondary |
| Provider Name | Joseph Bruce Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730183138 PECOS PAC ID: 8224922158 Enrollment ID: I20040211001004 |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Medina Rd Ste 220, Medina, OH 44256 Phone: 330-434-0543 | |
Kaiser Permanente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 108, Medina, OH 44256 Phone: 216-265-8844 Fax: 216-265-8890 | |
Medina County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Ledgewood Drive, Health Center, Medina, OH 44256 Phone: 330-723-9688 Fax: 330-723-9659 | |
Kase, Speelman, &cullen, M.d.'s, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 E Washington St, Ste 4b, Medina, OH 44256 Phone: 330-723-3256 Fax: 330-722-6731 | |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Medina Rd Ste 210, Medina, OH 44256 Phone: 330-375-3039 Fax: 234-312-2329 | |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 108, Medina, OH 44256 Phone: 216-265-8844 Fax: 216-265-8890 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Carrick Dr Ste 210, Medina, OH 44256 Phone: 330-725-3009 Fax: 330-722-7502 |