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NPI Code Detail

MEDICARE: HEALTHSPAN INTEGRATED CARE

MEDICARE: HEALTHSPAN INTEGRATED CARE
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
2207V00000XObstetrics & Gynecology Physician
3208000000XPediatrics Physician
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1871920660
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHSPAN INTEGRATED CARE
Provider Business Mailing Address
First Line : 615 ELSINORE PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 513-639-2722
Fax Number :
Provider Business Practice Location Address
First Line : 10 SEVERANCE CIR
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44118-1533
Country : US
Telephone Number : 216-265-8810
Fax Number : 216-265-8890
Authorized Official
Title or Position : CFO
Name : MR. DAVID A NOWISKI
Credential :
Telephone Number : 513-639-2722
Provider Enumeration Date : 10/11/2013
Last Update Date : 10/11/2013

Similar Medicare Providers

1174629695 — DR. LYDIA ALEXANDER-COOK M.D.
Practice Location Address:
10 SEVERANCE CIR
CLEVELAND HTS, OH
44118-1533
Practice Phone: 216-524-7377
Practice Fax: 216-297-2562
1285892901 — DR. NATALIE WOODS MD
Practice Location Address:
10 SEVERANCE CIR
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1740441492 — JOEL DESIRE KAMDA MD, PHD
Practice Location Address:
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Practice Fax: 216-297-2582
1578998738 — HEALTHSPAN INTEGRATED CARE
Practice Location Address:
10 SEVERANCE CIR
CLEVELAND HTS, OH
44118-1533
Practice Phone: 216-265-8810
Practice Fax: 216-265-8890
1467862912 — MICHAEL CHOE
Practice Location Address:
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1194812693 — MICHELE ARMENIA, M.D., S.C.
Practice Location Address:
121 S WILKE RD , SUITE 606
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Practice Phone: 847-392-6250
Practice Fax: 847-253-5181

Directions to “HEALTHSPAN INTEGRATED CARE ” 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.

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