Unknown Individual – Pediatrics Physician, NPI 1811003130
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Box Road, Boxwood Estates, Columbus, Muscogee County, Georgia, 31907, United States
COLUMBUS, OH 432714328
Phone: (800) 354-1985
Fax: (440) 350-4938
Type: Mailing
Lake Health Mentor Campus, 9485, Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States
#101
MENTOR, OH 44060
Phone: (440) 205-5800
Fax: (440) 205-5801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43271)
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