WYANDOT MEMORIAL HOSPITAL (NPI# 1275033011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275033011 |
| Entity Type | Organization |
| Organization Name | WYANDOT MEMORIAL HOSPITAL |
| Other Organization Name | WYANDOT MEMORIAL HOSPITAL PHYSICIAN SERVICES B |
| Practice Address |
103 N Pennington St Sycamore OH 44882-9408 |
| Mailing Address |
885 N Sandusky Ave Upper Sandusky OH 43351-1098 |
| Practice Telephone | 4199276552 |
| Practice Fax Number | 4199276500 |
| Mailing Telephone | 4192944991 |
| Mailing Fax Number | 4192090278 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Authorized Official Name | MARY ANNE SCHWENNING (ADMINISTRATIVE ASSIST/MEDSTAFF COOR) |
| Authorized Official Telephone | 4192944991 |
| Is Organization Subpart | Y |
| Parent Organization Name | WYANDOT MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 9687512 | 05 |
| Other Name | Type Code |
|---|---|
| Wyandot Memorial Hospital Physician Services B | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952774689 | Wyandot Memorial Hospital | Clinic/Center | 885 N Sandusky Avenue, Upper Sandusky, OH 43351-1098 | 2015-11-03 |
| 1013005941 | Wyandot Memorial Hospital | Durable Medical Equipment & Medical Supplies | 885 N. Sandusky Avenue, Upper Sandusky, OH 43351-1098 | 2006-10-10 |
| 1861908071 | Wyandot Memorial Hospital | Family Medicine | 885 N Sandusky Avenue, Upper Sandusky, OH 43351-1098 | 2017-12-26 |
| 1720594971 | Wyandot Memorial Hospital | Family Medicine | 885 N Sandusky Avenue, Upper Sandusky, OH 43351-1098 | 2017-12-26 |
| 1053827303 | Wyandot Memorial Hospital | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2017-12-22 |
| 1679758205 | Wyandot Memorial Hospital | Emergency Medicine | 885 N Sandusky Ave, Upper Sandusky, OH 43351-1031 | 2008-01-02 |
| 1174605695 | Wyandot Memorial Hospital | General Acute Care Hospital | 885 N Sandusky Ave, Upper Sandusky, OH 43351-1031 | 2006-10-20 |
| 1477554475 | Wyandot Memorial Hospital | General Acute Care Hospital | 885 N Sandusky Ave, Upper Sandusky, OH 43351-1031 | 2005-08-02 |
| Street Address |
103 N PENNINGTON ST |
| City | SYCAMORE |
| State | OH |
| Zip Code | 44882-9408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902883325 | Norman Scott Cisar | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2005-12-28 |
| 1053827303 | Wyandot Memorial Hospital | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2017-12-22 |
| 1962501056 | Sycamore Medical Associates, Inc. | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2006-09-22 |
| 1902883382 | Donald Phillip Smith | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821101429 | Jayna Amin | Dentist | 107 S Sycamore Ave, Sycamore, OH 44882 | 2006-08-16 |
| 1417015538 | Donald C Fillmore | Pharmacy | 119 S Sycamore Ave, Sycamore, OH 44882-0107 | 2006-12-04 |
| 1780042374 | Bridgett Rivera | Counselor | 202 East Saffle Avenue, Sycamore, OH 44882-0362 | 2016-02-10 |
| 1215177944 | Mohawk Local School District | Local Education Agency (LEA) | 605 State Highway 231, Sycamore, OH 44882-9434 | 2009-02-20 |
| 1407457039 | Sydney Elizabeth Lommerse | Speech-Language Pathologist | 605 State Highway 231, Sycamore, OH 44882-9434 | 2020-11-02 |
| 1609000454 | Nicole Suzette Wolfe | Registered Nurse | 6430 Knauss Rd, Sycamore, OH 44882-9647 | 2009-05-07 |
| 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 |
|---|---|---|---|---|
| 1194773499 | Timothy J Ruetten | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-05-05 |
| 1902883325 | Norman Scott Cisar | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2005-12-28 |
| 1063496875 | William Baxter | Family Medicine | 920 W Prairie Dr, Suite J, Sycamore, IL 60178-3123 | 2005-12-05 |
| 1184614760 | Jamison D Allen | Family Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2005-10-25 |
| 1023018322 | Asra F Khan | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2005-07-28 |
| 1053827303 | Wyandot Memorial Hospital | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2017-12-22 |
| 1912347329 | Sarina G Jeswani | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2013-06-29 |
| 1578793816 | Center for Family Health | Family Medicine | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2009-07-21 |
| 1043486954 | Chunliu Zhu | Family Medicine | 1850 Gateway Dr Ste 100, Sycamore, IL 60178-3192 | 2008-05-01 |
| 1275652240 | Ketan N Morker | Family Medicine | 954 W State St, Sycamore, IL 60178-1335 | 2007-03-28 |
| Find all providers in SYCAMORE | ||||
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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.