MEDICARE: INTEGRATED MEDICINE OF OHIO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1437796042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED MEDICINE OF OHIO LLC

Provider Business Mailing Address
First Line	:	2780 S ARLINGTON RD STE 202
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44312-4707
Country	:	US
Telephone Number	:	330-644-5488
Fax Number	:	330-644-5488

Provider Business Practice Location Address
First Line	:	2780 S ARLINGTON RD STE 202
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44312-4707
Country	:	US
Telephone Number	:	330-644-5488
Fax Number	:	330-644-5488

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	CAROLINE BOARDMAN
Credential	:
Telephone Number	:	330-644-5488

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	01/28/2020

Similar Medicare Providers

1447866280 — MEADOWBROOK SERVICES, LLC
Practice Location Address:

2780 S ARLINGTON RD STE 201
COVENTRY TOWNSHIP, OH
44312-4707

Practice Phone: 330-803-4969
Practice Fax:

1093378044 — KRISTIN FORKAPA DO
Practice Location Address:

2818 S ARLINGTON RD
COVENTRY TOWNSHIP, OH
44312-4716

Practice Phone: 330-645-0148
Practice Fax:

1386204907 — KAYLEE J PATTON
Practice Location Address:

2800 S ARLINGTON RD STE 102
COVENTRY TOWNSHIP, OH
44312-4702

Practice Phone: 330-644-1932
Practice Fax:

1487242053 — KYLE VALATKA H.A.S
Practice Location Address:

2828 S ARLINGTON RD
COVENTRY TOWNSHIP, OH
44312-4726

Practice Phone: 330-785-0800
Practice Fax:

1851032577 — DR. EMILY ANNE CRONIN-INGROS DO
Practice Location Address:

2181 S ARLINGTON ROAD
COVENTRY TOWNSHIP, OH
44312

Practice Phone: 330-645-0148
Practice Fax:

1942944780 — DR. JORDAN PARI ACKERMAN DO
Practice Location Address:

2818 S ARLINGTON RD
COVENTRY TOWNSHIP, OH
44312-4716

Practice Phone: 330-645-0148
Practice Fax:

Directions to “INTEGRATED MEDICINE OF OHIO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.