Organization
FAMILY PRACTICE CENTER OF WADSWORTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA WALKER (PRACTICE ADMINISTRATOR)
(330) 334-6229
Entity
Organization
Contact information
Practice address
251 LEATHERMAN RD, WADSWORTH, OH 44281-9236
(330) 334-6229
(330) 334-6110
Mailing address
251 LEATHERMAN RD, WADSWORTH, OH 44281-9236
(330) 334-6229
(330) 334-6110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35050673F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102518
JOSHUA D. RAINES, DO MEDICAID ID
OH
05
—
0557848
—
OH
01
—
2164250
MEDICAID FPCW
OH
05
—
3000344
—
OH
05
—
3107668
—
OH
01
—
9265331
MEDICARE GROUP PTAN-FPCW
—
01
—
A16460
MATTHEW P. FINNERAN, MD MEDICARE UPIN
OH
01
—
H206900
JOSHUA D. RAINES, DO MEDICARE PTAN
OH
01
—
H403930
CYNTHIA MAZEY, CNP PTAN
—
01
—
H437901
BRINKMAN A. MURRAY, DO MEDICARE PTAN
OH
Enumeration date
02/22/2007
Last updated
10/07/2016
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