| Sylvan Lakes Family Physicians Ltd | |
|
7640 Sylvania Ave Suite K Sylvania OH 43560-9729 | |
| (419) 517-1001 | |
| (419) 517-1021 |
| Full Name | Sylvan Lakes Family Physicians Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 7640 Sylvania Ave, Sylvania, Ohio |
| Authorized Official Name and Position | Phillip H Fisher (PRESIDENT) |
| Authorized Official Contact | 4195171001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvan Lakes Family Physicians Ltd 7640 Sylvania Ave Suite K Sylvania OH 43560-9729 Ph: (419) 517-1001 | Sylvan Lakes Family Physicians Ltd 7640 Sylvania Ave Suite K Sylvania OH 43560-9729 Ph: (419) 517-1001 |
| NPI Number | 1346422425 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 02/04/2013 |
| Medicare PECOS PAC ID | 7416928460 |
|---|---|
| Medicare Enrollment ID | O20040803001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346422425 | NPI | - | NPPES |
| 2516503 | Medicaid | OH | |
| DC0712 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Phillip H Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043298250 PECOS PAC ID: 0840261806 Enrollment ID: I20040804001921 |
| Provider Name | Christopher A Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871599555 PECOS PAC ID: 8527195817 Enrollment ID: I20100419000173 |
| Provider Name | Kristin E Woodard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114921095 PECOS PAC ID: 8022146299 Enrollment ID: I20100507000738 |
| Provider Name | Arun D Mathur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376705822 PECOS PAC ID: 8224216916 Enrollment ID: I20110628000758 |
| Provider Name | Brandi L Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841623402 PECOS PAC ID: 8123254315 Enrollment ID: I20131118000871 |
| Provider Name | Holly S Dickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518200500 PECOS PAC ID: 6901047927 Enrollment ID: I20160627002629 |
The Toledo Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-824-7334 Fax: 419-824-7359 | |
Michigan Home Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5659 Breezebay Drive, Sylvania, OH 43560 Phone: 419-882-6545 Fax: 419-882-6545 | |
Emma L Bixby Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-824-7334 Fax: 419-824-7359 | |
West Toledo Internal Medicine Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7640 W Sylvania Ave, Suite I, Sylvania, OH 43560 Phone: 419-517-4000 Fax: 419-517-4002 | |
Sylvania Family Health And Wellness Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7135 Sylvania Ave, Suite 1c, Sylvania, OH 43560 Phone: 419-885-8822 Fax: 419-885-9221 | |
Primary Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7640 Sylvania Ave, Suite E, Sylvania, OH 43560 Phone: 419-473-2273 |