Lara Blumberg (NPI# 1174532477, PAC ID# 2567477516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174532477 |
| PAC ID by PECOS | 2567477516 |
| Professional Enrollment ID | I20060213000113 |
| Full Name | Lara Blumberg |
| Organization Legal Name | CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. |
| Address |
6201 Gender Rd Canal Winchester OH 43110-2007 |
| Phone Number | 6148348042 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2769383785 |
| Number of Group Practice Members | 401 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| 360358 | DILEY RIDGE MEDICAL CENTER |
| 360035 | MOUNT CARMEL WEST |
| Address | Phone | Organization |
|---|---|---|
| 6201 Gender Rd, Canal Winchester, OH 43110-2007 | 6148348042 | CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. |
| Organization Legal Name | CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. |
| Physicians | 437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew M Weaver | Nurse Practitioner | Central Ohio Primary Care Physicians, Inc. | 457 Shawnee Ln, Chillicothe, OH 45601-4145 |
| Karen Akasaka | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 5130 Bradenton Ave, Suite A, Dublin, OH 43017-7068 |
| Samantha Noth | Physician Assistant | Central Ohio Primary Care Physicians, Inc. | 1781 Countryside Dr, Lancaster, OH 43130-1186 |
| Kelsey R Wilson | Nurse Practitioner | Central Ohio Primary Care Physicians, Inc. | 118 Morey Dr, Marysville, OH 43040-1646 |
| Scott Burdine Hahn | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 1800 Granville Pike, Lancaster, OH 43130-1043 |
| Marc E Serve | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 1120 Polaris Pkwy, Suite 200, Columbus, OH 43240-4042 |
| Jeffrey Todd Davis | Sports Medicine | Central Ohio Primary Care Physicians, Inc. | 6096 E Main St, Columbus, OH 43213-4302 |
| Sydulu G Bathini | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3984 |
| Natalie S Bodnar | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 4885 Olentangy River Rd, Columbus, OH 43214-1952 |
| Monica Stepherson | Nurse Practitioner | Central Ohio Primary Care Physicians, Inc. | 2489 Stelzer Rd, Suite 101, Columbus, OH 43219-3129 |
| Street Address |
6201 GENDER RD |
| City | CANAL WINCHESTER |
| State | OH |
| Zip | 43110-2007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larisa Ravitskiy | Dermatology | 6201 Gender Rd, Canal Winchester, OH 43110-2007 | |
| Brian J Fornadel | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Stephanie T Burkart | Nurse Practitioner | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Romi Bhasin | Endocrinology | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Stacy Lynn Scudder | Pediatric Medicine | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Emily N Roedersheimer | Family Practice | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Erin M Collins | Physical Therapy | Orthopedic One, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Ellen Quinlin | Family Medicine | 28 E Waterloo St, Canal Winchester, OH 43110-1138 | |
| William D Murray | Optometry | Richard C Mcclurg Od and William Murray Od LLC | 20 S High St, Canal Winchester, OH 43110-1251 |
| Richard Mcclurg | Optometry | Richard C Mcclurg Od and William Murray Od LLC | 20 S High St, Canal Winchester, OH 43110-1251 |
| Jeffrey A Myers | Optometry | Winchester Vision Care Inc | 6472 Winchester Blvd, Canal Winchester, OH 43110-2004 |
| Kari R Cardiff | Optometry | Winchester Vision Care Inc | 6472 Winchester Blvd, Canal Winchester, OH 43110-2004 |
| Amy R Keller | Optometry | Winchester Vision Care Inc | 6472 Winchester Blvd, Canal Winchester, OH 43110-2004 |
| James G Mouser | Ophthalmology | James L. Moses, M.d., Inc. | 6441 Winchester Blvd St E, Canal Winchester, OH 43110-2033 |
| James L Moses | Ophthalmology | James L. Moses, M.d., Inc. | 6441 Winchester Blvd St E, Canal Winchester, OH 43110-2033 |
| Jennifer Bogucki | Ophthalmology | James L. Moses, M.d., Inc. | 6441 Winchester Blvd St E, Canal Winchester, OH 43110-2033 |
| Joshua Morris | Optometry | James L. Moses, M.d., Inc. | 6441 Winchester Blvd St E, Canal Winchester, OH 43110-2033 |
| Find all physicians in zip 43110 | |||
| City | CANAL WINCHESTER |
| Zip Code | 43110 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CANAL WINCHESTER + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.