| Old West End Community Health Center | |
|
2244 Collingwood Blvd Toledo OH 43620-1147 | |
| (567) 318-3891 | |
| Not Available |
| Full Name | Old West End Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2244 Collingwood Blvd, Toledo, Ohio |
| Authorized Official Name and Position | Janis Sunderhaus (CEO) |
| Authorized Official Contact | 4192213072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Old West End Community Health Center 329 N West St Lima OH 45801-4332 Ph: (419) 221-3072 | Old West End Community Health Center 2244 Collingwood Blvd Toledo OH 43620-1147 Ph: (567) 318-3891 |
| NPI Number | 1760952741 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 9436139987 |
|---|---|
| Medicare Enrollment ID | O20150313002043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760952741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Daphne K Lindo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225114242 PECOS PAC ID: 0547155079 Enrollment ID: I20040216000369 |
| Provider Name | Rhonda J Medina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306838867 PECOS PAC ID: 4880684778 Enrollment ID: I20040517001218 |
| Provider Name | Gregory Benedict Parranto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447238993 PECOS PAC ID: 1456318237 Enrollment ID: I20041213001096 |
| Provider Name | Anthony Atkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265469811 PECOS PAC ID: 4789625427 Enrollment ID: I20050512000811 |
| Provider Name | Virginia S Hiltner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598765190 PECOS PAC ID: 5890724009 Enrollment ID: I20050808001302 |
| Provider Name | Lisa E Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629182225 PECOS PAC ID: 5395844336 Enrollment ID: I20070615000486 |
| Provider Name | Lisa R Wren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629304365 PECOS PAC ID: 9234278508 Enrollment ID: I20091125000454 |
| Provider Name | Warren Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538346382 PECOS PAC ID: 6800926452 Enrollment ID: I20100609000311 |
| Provider Name | Megan L Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215269444 PECOS PAC ID: 8123143591 Enrollment ID: I20100909000432 |
| Provider Name | Wilfred J G Ellis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811936198 PECOS PAC ID: 3173544616 Enrollment ID: I20110207000620 |
| Provider Name | Whitney P White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740541796 PECOS PAC ID: 9133372196 Enrollment ID: I20130124000455 |
| Provider Name | Jody M Smalley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902893175 PECOS PAC ID: 8527212547 Enrollment ID: I20130129000085 |
| Provider Name | Lee Ann Penix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508105784 PECOS PAC ID: 3678718962 Enrollment ID: I20130313000513 |
| Provider Name | Lindsey King |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790191203 PECOS PAC ID: 7113147588 Enrollment ID: I20141007000716 |
| Provider Name | Nicole R Fritz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992992663 PECOS PAC ID: 4587886742 Enrollment ID: I20141104001335 |
| Provider Name | Khalilah Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720482540 PECOS PAC ID: 4284956616 Enrollment ID: I20141213000056 |
| Provider Name | Aimee M Cotten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063804003 PECOS PAC ID: 1153649439 Enrollment ID: I20150416002128 |
| Provider Name | Heidi K Aust-cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730564345 PECOS PAC ID: 1153636204 Enrollment ID: I20150818005445 |
| Provider Name | Danielle M Finch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063884096 PECOS PAC ID: 9436459195 Enrollment ID: I20151202000290 |
| Provider Name | Courtney Baller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316311822 PECOS PAC ID: 9436455375 Enrollment ID: I20160302002606 |
| Provider Name | Amy E Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275707986 PECOS PAC ID: 3173820495 Enrollment ID: I20160330002518 |
| Provider Name | Michelle L Monfort |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053721548 PECOS PAC ID: 3678864154 Enrollment ID: I20160614002265 |
| Provider Name | Erin C Marten |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518411396 PECOS PAC ID: 5092003319 Enrollment ID: I20161019000691 |
| Provider Name | Kelly Genene Routhier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336506013 PECOS PAC ID: 0345529848 Enrollment ID: I20161123001411 |
| Provider Name | Bridget Faricy-beredo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447705124 PECOS PAC ID: 3173808557 Enrollment ID: I20170327002334 |
| Provider Name | Barbra D Forest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235655622 PECOS PAC ID: 5395018667 Enrollment ID: I20170907003175 |
| Provider Name | Rachel G Frinak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801312111 PECOS PAC ID: 3870867179 Enrollment ID: I20170926001623 |
| Provider Name | Treacy A Hueve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851708879 PECOS PAC ID: 5395010821 Enrollment ID: I20171009001941 |
| Provider Name | Soraya Gomez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427004456 PECOS PAC ID: 0941528012 Enrollment ID: I20171017002722 |
| Provider Name | Scott T Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093843526 PECOS PAC ID: 0648553503 Enrollment ID: I20171207000961 |
| Provider Name | Melissa R Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497260046 PECOS PAC ID: 2860750700 Enrollment ID: I20171221002417 |
| Provider Name | John Robert Stuber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528579497 PECOS PAC ID: 5092074633 Enrollment ID: I20180105000742 |
| Provider Name | Monica Elizabeth Kasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790290815 PECOS PAC ID: 7517227929 Enrollment ID: I20180202002363 |
| Provider Name | Mijanou D Marretta-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235627142 PECOS PAC ID: 7113281544 Enrollment ID: I20180510001013 |
| Provider Name | Jessica A Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285030551 PECOS PAC ID: 0648526715 Enrollment ID: I20180702003592 |
| Provider Name | Kimberly Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528570025 PECOS PAC ID: 7911256151 Enrollment ID: I20180821001414 |
| Provider Name | Ashley N Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861989915 PECOS PAC ID: 2769732072 Enrollment ID: I20180907000994 |
| Provider Name | Heather K Hornyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508341140 PECOS PAC ID: 9537412309 Enrollment ID: I20181024000901 |
| Provider Name | Chelsea M Inbody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124593140 PECOS PAC ID: 1456698679 Enrollment ID: I20190125002796 |
| Provider Name | Kimberly Lee Brocklehurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649748310 PECOS PAC ID: 2961740972 Enrollment ID: I20190218002159 |
| Provider Name | Tiffany Lee Ways |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548483217 PECOS PAC ID: 0840539441 Enrollment ID: I20190226001804 |
| Provider Name | Kaitlin Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376924076 PECOS PAC ID: 1850686650 Enrollment ID: I20190315002528 |
| Provider Name | Michelle Leslie Claypool |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215323142 PECOS PAC ID: 3375876394 Enrollment ID: I20190606001527 |
| Provider Name | Deena Sleiman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851958730 PECOS PAC ID: 1153659107 Enrollment ID: I20190828003859 |
| Provider Name | Amee N Croy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730746587 PECOS PAC ID: 4385973163 Enrollment ID: I20190903002931 |
| Provider Name | Cassie Taber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649731886 PECOS PAC ID: 1850620204 Enrollment ID: I20190910001641 |
| Provider Name | Kara Marie Kahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649826496 PECOS PAC ID: 8729318860 Enrollment ID: I20191002002872 |
| Provider Name | Craig W Parliment |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497117345 PECOS PAC ID: 3173955028 Enrollment ID: I20191113003433 |
| Provider Name | Angela M. Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013555788 PECOS PAC ID: 6305272642 Enrollment ID: I20200205002559 |
| Provider Name | Maureen O'neil Manbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770120487 PECOS PAC ID: 9739515909 Enrollment ID: I20200206001052 |
| Provider Name | Nadira Omar Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427697812 PECOS PAC ID: 8022445592 Enrollment ID: I20200221001380 |
| Provider Name | Anne M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568096410 PECOS PAC ID: 2163853698 Enrollment ID: I20200515001610 |
| Provider Name | Deborah A Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477166288 PECOS PAC ID: 5597182550 Enrollment ID: I20200904001656 |
| Provider Name | Tiffany Ashlynn Schaffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417573957 PECOS PAC ID: 1254759210 Enrollment ID: I20200908003448 |
| Provider Name | Nicole Lynn Stechschulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518565415 PECOS PAC ID: 5496165342 Enrollment ID: I20201103002918 |
| Provider Name | Abbey Lee Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487251880 PECOS PAC ID: 4789095639 Enrollment ID: I20201124002770 |
| Provider Name | Victoria Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415185 PECOS PAC ID: 9739592023 Enrollment ID: I20210105002277 |
| Provider Name | Tiffany Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710290317 PECOS PAC ID: 9537573431 Enrollment ID: I20210204003088 |
| Provider Name | Kayla Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699134114 PECOS PAC ID: 9335556414 Enrollment ID: I20210408000590 |
| Provider Name | Victoria Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457948325 PECOS PAC ID: 0345649430 Enrollment ID: I20210521000987 |
| Provider Name | Surpreet Kaur |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124304555 PECOS PAC ID: 8325343627 Enrollment ID: I20210913000796 |
| Provider Name | Megan Yant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639755960 PECOS PAC ID: 5799182895 Enrollment ID: I20210915003624 |
| Provider Name | India Lucille Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932796356 PECOS PAC ID: 6901204957 Enrollment ID: I20211006001557 |
| Provider Name | Megan R Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255818365 PECOS PAC ID: 6204224546 Enrollment ID: I20211019002432 |
| Provider Name | Stacy L Fugate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538832738 PECOS PAC ID: 4385033042 Enrollment ID: I20211118000426 |
| Provider Name | Christina Michelle Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750051728 PECOS PAC ID: 0941699524 Enrollment ID: I20211120000232 |
| Provider Name | Kalynah Taylor Zychowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144790833 PECOS PAC ID: 6507257763 Enrollment ID: I20211222001630 |
| Provider Name | Robyn Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013688639 PECOS PAC ID: 0840682720 Enrollment ID: I20220126003324 |
| Provider Name | Daniel Pierce |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316395817 PECOS PAC ID: 0749674042 Enrollment ID: I20220302002969 |
| Provider Name | Peggy Gonzalez Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215685557 PECOS PAC ID: 5698161545 Enrollment ID: I20220401001864 |
| Provider Name | Nicole Covell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275098006 PECOS PAC ID: 3779979323 Enrollment ID: I20220406003061 |
| Provider Name | Meghan Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710464466 PECOS PAC ID: 3476940230 Enrollment ID: I20220425002699 |
| Provider Name | Kelsey Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972126217 PECOS PAC ID: 7416379052 Enrollment ID: I20220428000149 |
| Provider Name | Amanda Mallory Slough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437640323 PECOS PAC ID: 8123406071 Enrollment ID: I20220604000254 |
| Provider Name | Allison Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104370774 PECOS PAC ID: 3779964598 Enrollment ID: I20220725002402 |
| Provider Name | Sukhpal Singh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588174353 PECOS PAC ID: 3971989872 Enrollment ID: I20220929002870 |
| Provider Name | Cassandra Baumgartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013567304 PECOS PAC ID: 2466888557 Enrollment ID: I20221024001571 |
| Provider Name | Pooja Chugh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366094831 PECOS PAC ID: 8123417672 Enrollment ID: I20221117002492 |
| Provider Name | Colleen Falke Errington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215411186 PECOS PAC ID: 4587033956 Enrollment ID: I20221206002600 |
| Provider Name | Wendy Diane Winegardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336862127 PECOS PAC ID: 0547639668 Enrollment ID: I20221213001336 |
| Provider Name | Casie A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487360947 PECOS PAC ID: 7113390998 Enrollment ID: I20230224002309 |
| Provider Name | Bobbi J Perkins-nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023714649 PECOS PAC ID: 8628441136 Enrollment ID: I20230303001509 |
| Provider Name | Linda Studenka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033816806 PECOS PAC ID: 0446624209 Enrollment ID: I20230316002349 |
| Provider Name | Tazeen Rahman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932838257 PECOS PAC ID: 8628443777 Enrollment ID: I20230404000734 |
| Provider Name | Vadim Goldshteyn |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669091575 PECOS PAC ID: 7618342031 Enrollment ID: I20230417000724 |
| Provider Name | Christopher De Guzman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063100287 PECOS PAC ID: 6103282553 Enrollment ID: I20230510001115 |
| Provider Name | Felicha L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114627494 PECOS PAC ID: 1951767078 Enrollment ID: I20230516001733 |
| Provider Name | Jessica Jera Mandeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497445118 PECOS PAC ID: 0143688754 Enrollment ID: I20230614000401 |
| Provider Name | Amber Nolen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396245619 PECOS PAC ID: 2961863022 Enrollment ID: I20230804003185 |
| Provider Name | Terryann C Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942848684 PECOS PAC ID: 9638531346 Enrollment ID: I20230811002907 |
| Provider Name | Jami Baer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376224212 PECOS PAC ID: 0840654034 Enrollment ID: I20230906002276 |
| Provider Name | Mary Wiechart Rector |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336590165 PECOS PAC ID: 2163886466 Enrollment ID: I20230919002351 |
| Provider Name | Aleece Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538604624 PECOS PAC ID: 5799139432 Enrollment ID: I20230928001425 |
| Provider Name | David F Veit |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932205515 PECOS PAC ID: 2466807318 Enrollment ID: I20231012000782 |
| Provider Name | Emily Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730951781 PECOS PAC ID: 2961859731 Enrollment ID: I20231116000310 |
| Provider Name | Phylissa Daquino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518484286 PECOS PAC ID: 8426409327 Enrollment ID: I20240104002625 |
| Provider Name | Maranda Cotterill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578925293 PECOS PAC ID: 5991156861 Enrollment ID: I20240105000461 |
| Provider Name | Clarissa Brighty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861809386 PECOS PAC ID: 4981055738 Enrollment ID: I20240105003618 |
| Provider Name | Danielle Kutan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518469915 PECOS PAC ID: 7618328147 Enrollment ID: I20240109004548 |
| Provider Name | Kaylin Camper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083139380 PECOS PAC ID: 5395197347 Enrollment ID: I20240116001872 |
| Provider Name | Jamie Eubanks-colyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659713568 PECOS PAC ID: 4385096288 Enrollment ID: I20240116003600 |
| Provider Name | Ashley Hope Weller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295247468 PECOS PAC ID: 4082066287 Enrollment ID: I20240123002328 |
| Provider Name | Deidra K Kutzli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427828177 PECOS PAC ID: 7113379355 Enrollment ID: I20240123003732 |
| Provider Name | Dorothy R Mcneil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104083104 PECOS PAC ID: 8224471735 Enrollment ID: I20240212001422 |
| Provider Name | Kevin J O'grady |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568553345 PECOS PAC ID: 5597084160 Enrollment ID: I20240306003506 |
| Provider Name | Elizabeth Ann Brodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225896046 PECOS PAC ID: 9335588763 Enrollment ID: I20240418002170 |
| Provider Name | Anne N Blunk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700582806 PECOS PAC ID: 2062852981 Enrollment ID: I20240425002383 |
| Provider Name | Patricia Shae Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841859592 PECOS PAC ID: 4688015191 Enrollment ID: I20240515002502 |
| Provider Name | Devon C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588418131 PECOS PAC ID: 6709228570 Enrollment ID: I20240524000333 |
| Provider Name | Yuka Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629822655 PECOS PAC ID: 1456893858 Enrollment ID: I20240612002722 |
Zepf Community Mental Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Nebraska Ave, Toledo, OH 43607 Phone: 419-255-4050 Fax: 419-720-7895 | |
Harbor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6629 W Central Ave, Toledo, OH 43617 Phone: 419-475-4449 | |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 | |
Randall Mccormick Toledo Internal Medicine Spec Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Cherry St, Ste 207, Toledo, OH 43608 Phone: 419-251-7672 Fax: 419-251-6785 | |
Sportscare Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 N Reynolds Rd Ste 140, Toledo, OH 43615 Phone: 419-578-7590 Fax: 419-537-5605 | |
Tracey Warren Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 | |
Woodward Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Central Ave, Toledo, OH 43608 Phone: 419-221-3072 |