| Terra Nova Medical Clinic | |
|
655 Fox Run Rd Ste E Findlay OH 45840-8401 | |
| (419) 424-0815 | |
| (419) 424-1405 |
| Full Name | Terra Nova Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 655 Fox Run Rd Ste E, Findlay, Ohio |
| Authorized Official Name and Position | Iyabo A Iboaya (PHYSICIAN) |
| Authorized Official Contact | 4194240815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Nova Medical Clinic Po Box 525 Findlay OH 45839-0525 Ph: (419) 424-0815 | Terra Nova Medical Clinic 655 Fox Run Rd Ste E Findlay OH 45840-8401 Ph: (419) 424-0815 |
| NPI Number | 1235436189 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/11/2011 |
| Medicare PECOS PAC ID | 9739362815 |
|---|---|
| Medicare Enrollment ID | O20110328000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235436189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 35.92245 (Ohio) | Primary |
| Provider Name | Iyabo Adetutu Iboaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508846783 PECOS PAC ID: 6103874078 Enrollment ID: I20090302000287 |
| Provider Name | Andrew Ebosele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447623392 PECOS PAC ID: 8123329794 Enrollment ID: I20151228000236 |
| Provider Name | Regan E Heagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407327315 PECOS PAC ID: 0345650487 Enrollment ID: I20201102000748 |
| Provider Name | Amy Sue Niese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396381307 PECOS PAC ID: 6103252770 Enrollment ID: I20220414000690 |
| Provider Name | Kendal Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598474520 PECOS PAC ID: 9436503802 Enrollment ID: I20231004000882 |
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