Organization · Type 2 NPI
Shadyside Clinic, LLC
Primary Care Clinic/Center · Shadyside, OH
NPI number
1093183204
Active
Practice location
3948 Central Ave
Shadyside, OH 43947-1310
Mailing address
65855 Stone Ridge Dr
Belmont, OH 43718-9425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 16718NP (OH) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
- Paramount Medical Care Inc.Internal Medicine Physician Shadyside, OH NPI 1699187500
- Cassandra Jo Ford, FNPFamily Nurse Practitioner Shadyside, OH NPI 1265251367
- Lindsay Twarog, NP-CFamily Nurse Practitioner Shadyside, OH NPI 1710381611
- Lucas William Burkhardt, FNP-BCNurse Practitioner Shadyside, OH NPI 1144734781
Other primary care clinic/center providers in Shadyside
About NPI 1093183204
Shadyside Clinic, LLC's National Provider Identifier is 1093183204, issued on Sep 3, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Shadyside, OH. The record was last updated on Sep 3, 2015.