| Westshore Primary Care Assoc., Inc. | |
|
33398 Walker Rd Suite C Avon Lake OH 44012-1496 | |
| (440) 930-8630 | |
| (440) 930-8676 |
| Full Name | Westshore Primary Care Assoc., Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 33398 Walker Rd, Avon Lake, Ohio |
| Authorized Official Name and Position | Misty Blaylock (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4408926406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westshore Primary Care Assoc., Inc. 26908 Detroit Rd Suite 301 Westlake OH 44145-2398 Ph: (440) 617-1823 | Westshore Primary Care Assoc., Inc. 33398 Walker Rd Suite C Avon Lake OH 44012-1496 Ph: (440) 930-8630 |
| NPI Number | 1548593361 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 09/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548593361 | NPI | - | NPPES |
| 0858077 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Alaa Alahmad Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32918 Lake Rd, Avon Lake, OH 44012 Phone: 216-374-6349 Fax: 440-235-8440 | |
Westshore Primary Care Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32730 Walker Road, Building H, Avon Lake, OH 44012 Phone: 440-930-4955 Fax: 440-930-4960 | |
Avon Lake Back & Neck, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33398 Walker Rd, Suite D, Avon Lake, OH 44012 Phone: 440-653-5220 |