Provider Demographics
NPI:1437453339
Name:PHYSICIANS CARE, INC.
Entity type:Organization
Organization Name:PHYSICIANS CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACP
Authorized Official - Phone:740-277-7570
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-0748
Mailing Address - Country:US
Mailing Address - Phone:740-277-7570
Mailing Address - Fax:740-277-7709
Practice Address - Street 1:2865 WHEELING RD NE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8508
Practice Address - Country:US
Practice Address - Phone:740-277-7570
Practice Address - Fax:740-277-7709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074064207Q00000X, 207QG0300X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3130543Medicaid
OH3130543Medicaid