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NPI Code Detail

MEDICARE: NES OHIO, INC.

MEDICARE: NES OHIO, 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
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000032226OTHEROHGROUP BCBS #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841272028
Entity Type Code : Organization
Provider Name (Legal Business Name) : NES OHIO, INC.
Provider Business Mailing Address
First Line : PO BOX 198904
Second Line :
City : ATLANTA
State : GA
Zip : 30384-8904
Country : US
Telephone Number : 800-377-8721
Fax Number : 304-697-1155
Provider Business Practice Location Address
First Line : 921 E FRANKLIN ST
Second Line :
City : KENTON
State : OH
Zip : 43326-2020
Country : US
Telephone Number : 419-673-0761
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : SERGE MARTIAL
Credential :
Telephone Number : 800-377-8721
Provider Enumeration Date : 11/15/2005
Last Update Date : 04/12/2011

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