Provider Demographics
NPI:1467624437
Name:OHIO PRIMARY CARE NETWORK, LLC
Entity Type:Organization
Organization Name:OHIO PRIMARY CARE NETWORK, LLC
Other - Org Name:FAMILY PHYSICIANS AT WEDGEWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BREZNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-766-4900
Mailing Address - Street 1:10330 SAWMILL PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7790
Mailing Address - Country:US
Mailing Address - Phone:614-766-4900
Mailing Address - Fax:614-766-4984
Practice Address - Street 1:10330 SAWMILL PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7790
Practice Address - Country:US
Practice Address - Phone:614-766-4900
Practice Address - Fax:614-766-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-30
Last Update Date:2008-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081093261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care