| East Avenue Family Practice | |
|
405 Tallmadge Rd Ste 120 Cuyahoga Falls OH 44221-3342 | |
| (330) 475-7535 | |
| (330) 848-2332 |
| Full Name | East Avenue Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Tallmadge Rd, Cuyahoga Falls, Ohio |
| Authorized Official Name and Position | Katherine Lilly Richmond (PRESIDENT) |
| Authorized Official Contact | 3304757535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Avenue Family Practice 405 Tallmadge Rd Ste 120 Cuyahoga Falls OH 44221-3342 Ph: (330) 475-7535 | East Avenue Family Practice 405 Tallmadge Rd Ste 120 Cuyahoga Falls OH 44221-3342 Ph: (330) 475-7535 |
| NPI Number | 1043216914 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043216914 | NPI | - | NPPES |
| P00051741 | Other | OH | RAILROAD MEDICARE GROUP |
| 729280 | Other | OH | BCHP ORGANIZATION ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
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› Verified 2 days ago
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