JTDM FAMILY PRACTICE LLC (NPI# 1164602678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164602678 |
| Entity Type | Organization |
| Organization Name | JTDM FAMILY PRACTICE LLC |
| Other Organization Name | ROBERT P GILL MD |
| Practice Address |
4 Eagle Dr Minster OH 45865-9714 |
| Practice Telephone | 4196282308 |
| Mailing Telephone | 4196282308 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | MR. JEFFREY VOSSLER (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 4193943387 |
| Is Organization Subpart | Y |
| Parent Organization Name | JTDM FAMILY PRACTICE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35040370 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE PTAN | 9934723 | 01 |
| OH | 2821576 | 05 |
| Other Name | Type Code |
|---|---|
| Robert P Gill MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639114192 | Jtdm Family Practice LLC | Otolaryngology | 1165 S Knoxville Ave, Suite F, St Marys, OH 45885-2622 | 2006-06-18 |
| 1750937090 | Jtdm Family Practice LLC | Durable Medical Equipment & Medical Supplies | 1013 E Spring St, Saint Marys, OH 45885-2447 | 2019-08-13 |
| 1932670023 | Jtdm Family Practice LLC | Durable Medical Equipment & Medical Supplies | 123 Hamilton St, Celina, OH 45822-1909 | 2018-12-16 |
| 1356772255 | Jtdm Family Practice LLC | Family Medicine | 812 Redskin Trl, Wapakoneta, OH 45895-8545 | 2013-12-03 |
| 1689005761 | Jtdm Family Practice LLC | Physician Assistant | 801 Pro Dr, Celina, OH 45822-3307 | 2013-11-27 |
| 1942630348 | Jtdm Family Practice LLC | Pediatrics | 801 Pro Dr, Celina, OH 45822-3307 | 2013-11-21 |
| 1104024546 | Jtdm Family Practice LLC | Family Medicine | 4463 State Route 66, Minster, OH 45865-8727 | 2007-07-06 |
| 1447288717 | Jtdm Family Practice LLC | Obstetrics & Gynecology | 1067 Hager St, St Marys, OH 45885-2422 | 2006-06-28 |
| 1184652539 | Jtdm Family Practice LLC | Nurse Practitioner | 200 Saint Clair Ave, St Marys, OH 45885-2400 | 2006-06-28 |
| 1144257759 | Jtdm Family Practice LLC | Psychiatry & Neurology | 1165 S Knoxville Ave, Suite F, St Marys, OH 45885-2622 | 2006-06-27 |
| Street Address |
4 EAGLE DR |
| City | MINSTER |
| State | OH |
| Zip Code | 45865-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962722801 | Maria Jane Zenz | Physical Therapist | 12 Eagle Drive, Minster, OH 45865 | 2010-06-02 |
| 1093916710 | Cornerstone Rehabilitation Ltd | Physical Therapist | 253 West Sixth Street, Minster, OH 45865 | 2007-05-30 |
| 1326130493 | Kathleen M Osterfeld | Occupational Therapist | 253 W Sixth St, Minster, OH 45865 | 2006-09-28 |
| 1780791368 | Minster Dental Center Inc | Dentist | 4215 State Route 66, Minster, OH 45865 | 2006-08-23 |
| 1659792455 | Kyle Whonsetler | Specialist/Technologist | 326 N. Main St, Minster, OH 45865 | 2013-12-20 |
| 1699088260 | Aimee K Jenkins | Physical Therapist | 253 W Sixth St, Minster, OH 45865 | 2010-07-23 |
| 1992909220 | Kari Vehorn | Occupational Therapy Assistant | 253 W Sixth St, Minster, OH 45865 | 2007-06-12 |
| 1588867329 | Jenny S Mark | Occupational Therapist | 253 W Sixth St, Minster, OH 45865 | 2007-06-08 |
| 1699978387 | Stacy Louth | Massage Therapist | 253 W Sixth St, Minster, OH 45865 | 2007-06-08 |
| 1376746388 | Larita M Condon | Speech-Language Pathologist | 253 W Sixth St, Minster, OH 45865 | 2007-06-07 |
| Find all providers in zip 45865 | ||||
| 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 |
|---|---|---|---|---|
| 1518383918 | Kristine Prenger | Family Medicine | 42 E 4th St, Minster, OH 45865-1001 | 2014-03-10 |
| 1316997745 | Karen A Ballas | Family Medicine | 11531 State Route 66, Minster, OH 45865-9303 | 2006-05-10 |
| 1083602254 | James D Luedeke | Family Medicine | 4463 State Route 66, Minster, OH 45865-8727 | 2005-10-11 |
| 1912902784 | Gregory Alan Bergman | Family Medicine | 4463 State Route 66n, Minster, OH 45865-8727 | 2005-06-16 |
| 1952614851 | Olubukola Abigail Adelola | Family Medicine | 4463 State Route 66, Minster, OH 45865-8727 | 2010-07-20 |
| 1144459090 | Sarah Werner | Family Medicine | 4463 State Route 66, Miami & Erie Family Practice & Pediatrics, Minster, OH 45865-8727 | 2009-07-13 |
| 1104024546 | Jtdm Family Practice LLC | Family Medicine | 4463 State Route 66, Minster, OH 45865-8727 | 2007-07-06 |
| 1821040007 | Shelden C Wical | Family Medicine | 4463 State Route 66, Miami Erie Family Practice & Pediatrice, Minster, OH 45865-8727 | 2006-05-16 |
| 1174574255 | Robert Patrick Gill | Family Medicine | 4463 State Route 66, Minster, OH 45865-8727 | 2006-05-13 |
| 1225088651 | Michael T Ballas | Family Medicine | 11531 State Route 66, Minster, OH 45865-9303 | 2006-05-10 |
| Find all providers in MINSTER | ||||
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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.