Provider Demographics
NPI:1295918316
Name:NORTH CENTRAL OHIO HEALTH CARE, INC.
Entity type:Organization
Organization Name:NORTH CENTRAL OHIO HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:PERVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:419-524-7771
Mailing Address - Street 1:616 OFFICE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6064
Mailing Address - Country:US
Mailing Address - Phone:614-899-0900
Mailing Address - Fax:614-899-0901
Practice Address - Street 1:616 OFFICE PKWY STE B
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082
Practice Address - Country:US
Practice Address - Phone:614-899-0900
Practice Address - Fax:614-899-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-08643-P174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH260052363OtherMEDICARE RR
OH9329701OtherMEDICARE GROUP NUMBER
270477000OtherMAGELLAN
OH2214884Medicaid
273851OtherVALUE OPTIONS
354806482004OtherMEDICAL MUTUAL
000000250237OtherANTHEM
03915OtherPARAMOUNT HEALTH CARE
OH354806482-00OtherWORKER'S COMP