Provider Demographics
NPI:1407943111
Name:PHYSICIANS CHOICE INC.
Entity Type:Organization
Organization Name:PHYSICIANS CHOICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBHART
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-844-1608
Mailing Address - Street 1:5130 PRINCETON GLENDALE RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2415
Mailing Address - Country:US
Mailing Address - Phone:513-844-1608
Mailing Address - Fax:513-844-1803
Practice Address - Street 1:5130 PRINCETON GLENDALE RD
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2415
Practice Address - Country:US
Practice Address - Phone:513-844-1608
Practice Address - Fax:513-844-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2059963Medicaid
OH367755Medicare ID - Type UnspecifiedPROVIDER NUMBER