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NPI Code Detail

MEDICARE: GENERAL PRACTICE ASSOCIATES, INC

MEDICARE: GENERAL PRACTICE ASSOCIATES, INC
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
1207Q00000XFamily Medicine Physician34-00-2755GOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118542586900OTHEROHBWC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609032275
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERAL PRACTICE ASSOCIATES, INC
Provider Business Mailing Address
First Line : 1201 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-3400
Country : US
Telephone Number : 614-443-8155
Fax Number : 614-443-8090
Provider Business Practice Location Address
First Line : 1201 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-3400
Country : US
Telephone Number : 614-443-8155
Fax Number : 614-443-8090
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. DIANE BUSH
Credential :
Telephone Number : 614-443-8155
Provider Enumeration Date : 08/04/2008
Last Update Date : 09/25/2008

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