Justin P Gildow (NPI# 1134468168, PAC ID# 8123265238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134468168 |
| PAC ID by PECOS | 8123265238 |
| Professional Enrollment ID | I20130509000257 |
| Full Name | Justin P Gildow |
| Organization Legal Name | COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY |
| Address |
4879 Us Rte 68 West Liberty OH 43357 |
| Phone Number | 9375991411 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022247469 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360197 | MARY RUTAN HOSPITAL |
| 360086 | SPRINGFIELD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4879 Us Rte 68, West Liberty, OH 43357 | 9375991411 | COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY |
| Organization Legal Name | COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth C Miller | Family Medicine | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Tracy L Detwiler | Physician Assistant | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Charles Vernon Kratz | Family Medicine | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Breanna M Detrick | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 212 E Columbus Ave, Suite 1, Bellefontaine, OH 43311-2033 |
| Paula Strebig | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Joshua L Bryant | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Leanne E Spring | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Tynese Simone Anderson | Family Practice | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| William Degendt | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Kelly Jo Lehman | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Street Address |
4879 US RTE 68 |
| City | WEST LIBERTY |
| State | OH |
| Zip | 43357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth C Miller | Family Medicine | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Tracy L Detwiler | Physician Assistant | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Charles Vernon Kratz | Family Medicine | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Paula Strebig | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Joshua L Bryant | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Leanne E Spring | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Tynese Simone Anderson | Family Practice | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| William Degendt | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Kelly Jo Lehman | Nurse Practitioner | Community Health and Wellness Partners of Logan County | 4879 Us Rte 68, West Liberty, OH 43357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice Elaine Rhoades | Clinical Social Worker | Consolidated Care Inc | 1521 N Detroit St, West Liberty, OH 43357-0817 |
| Rosalind Weaver | Clinical Social Worker | Consolidated Care Inc | 1521 N Detroit St, West Liberty, OH 43357-0817 |
| Vicki L Reiff | Clinical Social Worker | Consolidated Care Inc | 1521 N Detroit St, West Liberty, OH 43357-0817 |
| Douglas Steiner | Clinical Social Worker | Consolidated Care Inc | 1521 N Detroit St, West Liberty, OH 43357-0817 |
| Steven Allan Grothaus | Colorectal Surgery (proctology) | 4879 Us Route 68 S, West Liberty, OH 43357-9525 | |
| Hassan B Semaan | Diagnostic Radiology | Summit Radiology PC | 5409 County Rd, Suite 1, West Liberty, OH 43357-9531 |
| City | WEST LIBERTY |
| Zip Code | 43357 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST LIBERTY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Justin P Gildow.
| 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.