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NPI · 1104630912 · NPPES-sourced

Great Health Medical Oh INC

ActiveFamily Medicine
NPI Number
1104630912
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(718) 470-0288
Primary practice line
Last Updated
Enumerated
Primary practice addressOH · 44691-9511
1552 N Honeytown RdWooster, OH 44691-9511
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About this NPIWhat this record shows.

NPI 1104630912 is registered to Great Health Medical Oh INC, a healthcare organisation classified as "Family Medicine" and located at 1552 N Honeytown Rd in Wooster, Ohio. The organisation's authorised official is Azlan Tariq. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Great Health Medical Oh INC accepts. To confirm in-network status with your specific health plan, contact Great Health Medical Oh INC directly at (718) 470-0288.

Frequently asked

Yes. NPI 1104630912 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 470-0288.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Great Health Medical Oh INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Ohio.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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