| The Health Experiences Primary Care | |
|
199 William Howard Taft Rd Cincinnati OH 45219-2103 | |
| (513) 616-8774 | |
| Not Available |
| Full Name | The Health Experiences Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 199 William Howard Taft Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Curtis Cooper (COO) |
| Authorized Official Contact | 5135604301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Health Experiences Primary Care 199 William Howard Taft Rd Cincinnati OH 45219-2103 Ph: (513) 783-1200 | The Health Experiences Primary Care 199 William Howard Taft Rd Cincinnati OH 45219-2103 Ph: (513) 616-8774 |
| NPI Number | 1033569611 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 11/28/2017 |
| Medicare PECOS PAC ID | 9234418906 |
|---|---|
| Medicare Enrollment ID | O20161121001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033569611 | NPI | - | NPPES |
| 0180921 | Medicaid | OH |
| Provider Name | Emmett G Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548297013 PECOS PAC ID: 5698091510 Enrollment ID: I20161220001023 |
| Provider Name | Rachael Annette Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538137492 PECOS PAC ID: 2264521731 Enrollment ID: I20170222002536 |
| Provider Name | Krishona L Poignard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912448689 PECOS PAC ID: 1153698600 Enrollment ID: I20170605000904 |
| Provider Name | Sobia Saleem Chaudhry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312766 PECOS PAC ID: 7012262249 Enrollment ID: I20180612001622 |
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