BRADLEY PAUL EVERLY (NPI# 1053561993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053561993 |
| Entity Type | Individual |
| Full Name | BRADLEY PAUL EVERLY |
| Credential | MD |
| Practice Address |
1900 Indian Wood Cir Ste 202b Maumee OH 43537 |
| Mailing Address |
1900 Indian Wood Cir Ste 202b Maumee OH 43537-4039 |
| Practice Telephone | 4195788594 |
| Practice Fax Number | 8556182622 |
| Mailing Telephone | 4195788594 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2019-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35-097443 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PARTNERS PHYSICIAN GROUP MEDICAID # | 2551671 | 01 |
| OH | PARTNERS PHYSICIAN GROUP MEDICARE # | 9338635 | 01 |
| OH | 0050614 | 05 | |
| OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # | 1841239274 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3425 Executive Pkwy, Suite 100, Toledo, OH 436061326 | 4194721124 | 4194868857 |
| Street Address |
1900 INDIAN WOOD CIR STE 202B |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929630 | Vpa PC | Social Worker | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537-4039 | 2020-07-09 |
| 1558917443 | Vpa PC | Pediatrics | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537-4039 | 2019-08-15 |
| 1710531322 | Vpa PC | Pediatrics | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537-4039 | 2019-07-31 |
| 1316435027 | Michelle Mitchell | Nurse Practitioner | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537 | 2018-04-27 |
| 1306365689 | Wiera Marie Payton | Nurse Practitioner | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537 | 2017-09-18 |
| 1275851180 | Sarah Milliron | Family Medicine | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750745782 | Zachary Stephan | Family Medicine | 660 Beaver Creek Cir Ste 110, Maumee, OH 43537-1746 | 2016-04-06 |
| 1629162151 | Richard A. Paat, M.d.,llc | Family Medicine | 235 W. Wayne St., Maumee, OH 43537-8718 | 2006-10-02 |
| 1790882876 | Neriel Y. Bernblum | Family Medicine | 120 W Dudley St, Maumee, OH 43537 | 2006-09-20 |
| 1184729220 | Lee Klopfenstein | Family Medicine | 1715 Indian Wood Cir Ste Office, Maumee, OH 43537-4055 | 2006-09-13 |
| 1700812443 | Patricia Ann Smethurst | Family Medicine | 1715 Indian Wood Cir, Ste 200, Office 266 & 255, Maumee, OH 43537-4055 | 2006-06-24 |
| 1538145925 | Joseph S Peyton | Family Medicine | 118 E Indiana Ave, Maumee, OH 43537-2826 | 2005-12-19 |
| 1831174424 | Vanessa Kay Boyce | Family Medicine | 3355 Briarfield Blvd, Maumee, OH 43537-8667 | 2005-12-07 |
| 1417931932 | Thomas James Tafelski | Family Medicine | 3100 Main St Ste 705, Maumee, OH 43537-9867 | 2005-11-30 |
| 1275516528 | Maumee Medical Partners Ltd | Family Medicine | 111 Clinton St, Maumee, OH 43537-2811 | 2005-11-21 |
| 1831187103 | Todd Forrest | Family Medicine | 119 Clinton St, Maumee, OH 43537-2811 | 2005-10-11 |
| Find all providers in MAUMEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.