Mijanou D Marretta-lewis
PROVIDENCE MEDICAL GROUP


Address: 2912 Springboro W, Moraine, OH 45439-1674

Mijanou D Marretta-lewis (NPI# 1235627142, PAC ID# 7113281544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1235627142
PAC ID by PECOS 7113281544
Professional Enrollment ID I20180510001013
Full Name Mijanou D Marretta-lewis
Organization Legal Name PROVIDENCE MEDICAL GROUP
Address 2912 Springboro W
Moraine
OH 45439-1674
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2860386349
Number of Group Practice Members 37
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360133 GRANDVIEW AND SOUTHVIEW HOSPITALS
360079 KETTERING MEDICAL CENTER

Other Locations

Address Phone Organization
2912 Springboro W, Moraine, OH 45439-1674 PROVIDENCE MEDICAL GROUP

Organization Information

Organization Legal Name PROVIDENCE MEDICAL GROUP
Physicians 50

Physicians with the same organization

Name Specialty Organization Address
Theresa Kay Edwards Nurse Practitioner Providence Medical Group 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073
Timothy D Webb Family Medicine Providence Medical Group 4403 W Franklin St D, Bellbrook, OH 45305-2700
Krista A Miller Nurse Practitioner Providence Medical Group 49 E Ctr St, Farmersville, OH 45325-1110
Caitlyn Frantz Nurse Practitioner Providence Medical Group 6255 Chambersburg Rd, Huber Heights, OH 45424-3873
Meta Lisa Howard Nurse Practitioner Providence Medical Group 400 Corporate Ctr Dr, Vandalia, OH 45377-1164
Kristen M Schwieterman Nurse Practitioner Providence Medical Group 4353e State Route 73, Waynesville, OH 45068-8812
Kevin A Carter Family Medicine Providence Medical Group 38 Woodcroft Trl, Beavercreek, OH 45430-1980
Shane T Sampson Family Medicine Providence Medical Group 2912 Springboro W, Moraine, OH 45439-1674
Mary F Sroga Nurse Practitioner Providence Medical Group 1870 Dayton Germantown Pike, Germantown, OH 45327-1100
James R Fisco Family Medicine Providence Medical Group 70 Remick Blvd, Springboro, OH 45066-9168

Office Location

Street Address 2912 SPRINGBORO W
City MORAINE
State OH
Zip 45439-1674

Physicians in the same location

Name Specialty Organization Address
Shane T Sampson Family Medicine Providence Medical Group 2912 Springboro W, Moraine, OH 45439-1674
Victoria E Brookshire Nurse Practitioner Providence Medical Group 2912 Springboro W, Suite 201, Moraine, OH 45439-1674
Mark Stuart Jeffries Family Medicine Providence Medical Group 2912 Springboro W, Suite 201, Moraine, OH 45439-1674
Jeffrey Blake Gleick Family Medicine Providence Medical Group 2912 Springboro W, Moraine, OH 45439-1674
Edward J Kinkopf Family Practice Providence Medical Group 2912 Springboro W, Suite 201a, Moraine, OH 45439-1674

Physicians in the same zip code

Name Specialty Organization Address
Bonnie R Parish Clinical Social Worker Family Service Association 2211 Arbor Blvd, Moraine, OH 45439-1521
Joanna White Clinical Social Worker Family Service Association 2211 Arbor Blvd, Moraine, OH 45439-1521
Cheryl E Hamant Roslund Clinical Social Worker Family Service Association 2211 Arbor Blvd, Moraine, OH 45439-1521
Rakesh K Gupta Nephrology Renal Physicians Inc 2016 Springboro W, Moraine, OH 45439-1648
Jerry E Flexman Psychologist, Clinical Flexman Myers Clinic LLC 2621 Dryden Rd, Suite 202, Moraine, OH 45439-1661
Katherine Myers Psychologist, Clinical Flexman Myers Clinic LLC 2621 Dryden Rd, Suite 202, Moraine, OH 45439-1661
Thomas H Henderson Family Practice Providence Medical Group 2912 Springboro Rd W, Moraine, OH 45439-1674
Emma E Garcia Family Practice Providence Medical Group 2912 Springboro Rd W, Suite 201, Moraine, OH 45439-1674
Patrice E Christie Physician Assistant Providence Medical Group 2912 Springboro Rd W, Suite 201, Moraine, OH 45439-1674
Sullivan Doumont Physician Assistant Providence Medical Group 2912 Springboro Rd W, Suite 201, Moraine, OH 45439-1674
Find all physicians in zip 45439

Competitor

Search similar physicians

City MORAINE
Zip Code 45439
Specialty NURSE PRACTITIONER
City + Specialty MORAINE + NURSE PRACTITIONER

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Dataset Information

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.

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