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NPI Code Detail

MEDICARE: COMPREHENSIVE GERIATRIC CARE, LLC

MEDICARE: COMPREHENSIVE GERIATRIC CARE, 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
1310400000XAssisted Living Facility35082789OH
2207QG0300XGeriatric Medicine (Family Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598945230
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE GERIATRIC CARE, LLC
Provider Business Mailing Address
First Line : 1110 OAKWOOD AVE
Second Line :
City : OAKWOOD
State : OH
Zip : 45419-2911
Country : US
Telephone Number : 419-206-1249
Fax Number : 419-868-1503
Provider Business Practice Location Address
First Line : 1110 OAKWOOD AVE
Second Line :
City : OAKWOOD
State : OH
Zip : 45419-2911
Country : US
Telephone Number : 419-206-1249
Fax Number : 419-868-1503
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MRS. SUSAN ELAINE BERNER
Credential : M.D.
Telephone Number : 937-901-2876
Provider Enumeration Date : 11/09/2007
Last Update Date : 02/28/2023

Similar Medicare Providers

1952384505 — SUSAN ELAINE BERNER M.D.
Practice Location Address:
1110 OAKWOOD AVE
OAKWOOD, OH
45419-2911
Practice Phone: 937-885-7163
Practice Fax: 937-567-0670
1487629440 — GINA THERESA ATCHISON P.A.
Practice Location Address:
1110 OAKWOOD AVE
OAKWOOD, OH
45419-2911
Practice Phone: 937-885-7163
Practice Fax: 937-567-0670
1457576266 — ANNE COLLEEN SCHOEN MD
Practice Location Address:
1110 OAKWOOD AVE
OAKWOOD, OH
45419-2911
Practice Phone: 937-885-7163
Practice Fax: 937-567-0670
1447493036 — MRS. MICHELLE SOVERN BOYER PA-C
Practice Location Address:
1110 OAKWOOD AVE
OAKWOOD, OH
45419-2911
Practice Phone: 937-885-7163
Practice Fax: 937-567-0670
1437427663 — LISA M SCHLATER P.A.
Practice Location Address:
1110 OAKWOOD AVE
OAKWOOD, OH
45419-2911
Practice Phone: 378-857-1639
Practice Fax: 937-567-0670
1295080851 — TARA SUE VANGUNDY CFNP
Practice Location Address:
1110 OAKWOOD AVE
OAKWOOD, OH
45419-2911
Practice Phone: 937-885-7163
Practice Fax: 937-567-0670

Directions to “COMPREHENSIVE GERIATRIC CARE, LLC ” Practice Location

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