Vpa Pc | |
7206 Market St Ste 100a Boardman OH 44512-4507 | |
(330) 726-3379 | |
Not Available |
Full Name | Vpa Pc |
---|---|
Speciality | Family Medicine |
Location | 7206 Market St Ste 100a, Boardman, Ohio |
Authorized Official Name and Position | William F Sasser (OWNER) |
Authorized Official Contact | 2483246600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vpa Pc Po Box 1239 Troy MI 48099-1239 Ph: (248) 824-6623 | Vpa Pc 7206 Market St Ste 100a Boardman OH 44512-4507 Ph: (330) 726-3379 |
NPI Number | 1609942762 |
---|---|
Provider Enumeration Date | 11/28/2006 |
Last Update Date | 03/14/2018 |
Medicare PECOS PAC ID | 9234041948 |
---|---|
Medicare Enrollment ID | O20070130000579 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609942762 | NPI | - | NPPES |
001945552001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
207R00000X | Internal Medicine | (Pennsylvania) | Secondary |
Provider Name | Antoinette C Wassel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831233352 PECOS PAC ID: 9537263413 Enrollment ID: I20070403000013 |
Provider Name | Eliza E F Thornton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255582201 PECOS PAC ID: 7911058573 Enrollment ID: I20090623000125 |
Provider Name | Robyn Jill Baron |
---|---|
Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1710978507 PECOS PAC ID: 3375736374 Enrollment ID: I20101022000630 |
Provider Name | Dana D Laverty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053756775 PECOS PAC ID: 8820231814 Enrollment ID: I20151015000396 |
Provider Name | Timothy Charles Trotter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518330901 PECOS PAC ID: 4587967070 Enrollment ID: I20160115001059 |
Provider Name | Dehcontee Guar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730654278 PECOS PAC ID: 2163766031 Enrollment ID: I20181204000335 |
Provider Name | Marthe Adler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295382232 PECOS PAC ID: 0547677403 Enrollment ID: I20210322001913 |
Provider Name | Louise Aka Ezoua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073139325 PECOS PAC ID: 3577970185 Enrollment ID: I20210326001969 |
Provider Name | Noelle L James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316523541 PECOS PAC ID: 2567854714 Enrollment ID: I20220119003150 |
Provider Name | Martine Benoit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821758897 PECOS PAC ID: 0446644579 Enrollment ID: I20220305000061 |
Provider Name | Katherine R Ferrara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609503317 PECOS PAC ID: 7214313683 Enrollment ID: I20221008000024 |
Provider Name | Mercedes Harley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386276152 PECOS PAC ID: 8426402249 Enrollment ID: I20230928000134 |
Provider Name | Natalie Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780180620 PECOS PAC ID: 0840632386 Enrollment ID: I20240529002258 |
Provider Name | Monalisa Ghose |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093178717 PECOS PAC ID: 1254625106 Enrollment ID: I20240604001160 |
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