| Sunrise Medical Group Inc | |
|
370 Cline Ave Ste B3 Mansfield OH 44907-1057 | |
| (419) 775-5879 | |
| (844) 520-5975 |
| Full Name | Sunrise Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 370 Cline Ave Ste B3, Mansfield, Ohio |
| Authorized Official Name and Position | Bashar Alalao (OWNER) |
| Authorized Official Contact | 4197755879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Group Inc Po Box 3806 Mansfield OH 44907-3806 Ph: (419) 775-5879 | Sunrise Medical Group Inc 370 Cline Ave Ste B3 Mansfield OH 44907-1057 Ph: (419) 775-5879 |
| NPI Number | 1487182770 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 1557630969 |
|---|---|
| Medicare Enrollment ID | O20170628001175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487182770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952431942 PECOS PAC ID: 3870696305 Enrollment ID: I20070321000245 |
| Provider Name | Bashar Alalao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720236862 PECOS PAC ID: 4981756020 Enrollment ID: I20090721000090 |
| Provider Name | Leonardo Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629268891 PECOS PAC ID: 5698862662 Enrollment ID: I20111208000728 |
| Provider Name | Bahzat F Youssef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487886719 PECOS PAC ID: 8325204894 Enrollment ID: I20120727000367 |
| Provider Name | Joy L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508275520 PECOS PAC ID: 4486876570 Enrollment ID: I20141104002835 |
| Provider Name | Jennifer Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407303423 PECOS PAC ID: 7911287032 Enrollment ID: I20161207001759 |
| Provider Name | Ahmed Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407264476 PECOS PAC ID: 6406154806 Enrollment ID: I20171013000426 |
| Provider Name | Matthew T Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205327178 PECOS PAC ID: 2567706823 Enrollment ID: I20181128000743 |
| Provider Name | Danielle Kanavy Crouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164900049 PECOS PAC ID: 0840537791 Enrollment ID: I20190130001890 |
Ohio Eye Associates Eye Surgery & Laser Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 466 S Trimble Rd, Mansfield, OH 44906 Phone: 419-756-8000 Fax: 419-756-7100 | |
Richland Internists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2293 Village Mall Drive, Mansfield, OH 44906 Phone: 419-747-3400 Fax: 419-747-3408 | |
William Scott Ballinger,m.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 Balgreen Dr, Suite 203, Mansfield, OH 44906 Phone: 419-756-6366 Fax: 419-756-5549 | |
Mansfield Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Blymyer Ave, Mansfield, OH 44903 Phone: 419-524-2212 Fax: 419-524-9040 | |
Melissa Becker, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Park Ave E, Mansfield, OH 44905 Phone: 419-522-0948 Fax: 419-526-7347 | |
Patrick Furness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Park Ave E, Mansfield, OH 44905 Phone: 419-522-0948 Fax: 419-526-7347 | |
Davis Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Marion Ave, Mansfield, OH 44903 Phone: 419-756-7500 Fax: 419-525-0001 |