JTDM FAMILY PRACTICE LLC (NPI# 1356772255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356772255 |
| Entity Type | Organization |
| Organization Name | JTDM FAMILY PRACTICE LLC |
| Other Organization Name | WAPAKONETA PRIMARY CARE |
| Practice Address |
812 Redskin Trl Wapakoneta OH 45895-8545 |
| Practice Telephone | 4197384445 |
| Practice Fax Number | 4197384601 |
| Mailing Telephone | 4197384445 |
| Mailing Fax Number | 4197384601 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | MR. JEFFREY W VOSSLER (VICE PRESIDENT OF FINANCIAL SERVICE) |
| Authorized Official Telephone | 4193943335 |
| 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 | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wapakoneta Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164602678 | Jtdm Family Practice LLC | Family Medicine | 4 Eagle Dr, Minster, OH 45865-9714 | 2007-11-13 |
| 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 |
| 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 |
812 REDSKIN TRL |
| City | WAPAKONETA |
| State | OH |
| Zip Code | 45895-8545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750334678 | Joint Township District Memorial Hospital | General Practice | 812 Redskin Trl, Wapakoneta, OH 45895-8545 | 2006-05-19 |
| 1538331525 | Grand Lake Podiatry, Inc | Podiatrist | 812 Redskin Trl, Ste B, Wapakoneta, OH 45895-8545 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558834119 | Dr Eric West Dc Inc | Chiropractor | 801 Brewfield Redskin Trail, Wapakoneta, OH 45895 | 2019-01-07 |
| 1063931624 | Teresa Howell | Home Health | 15500 Bay Road, Wapakoneta, OH 45895 | 2017-09-14 |
| 1891241410 | Dion Michael Paul | Occupational Therapy Assistant | 305 East Mechanic St., Wapakoneta, OH 45895 | 2016-09-01 |
| 1609235480 | Marianne Morrisey | Speech-Language Pathologist | 1010 Lincoln Ave, Wapakoneta, OH 45895 | 2016-02-22 |
| 1700285327 | Brittany Kay Clark | Nurse Practitioner | 1258 Bellefontaine St Ste A, Wapakoneta, OH 45895 | 2014-08-19 |
| 1871896621 | Barbara Jill Cummins | Family Medicine | 807 Glynwood Road, Wapakoneta, OH 45895 | 2010-12-17 |
| 1649410630 | Michael Justin Nagel | Chiropractor | 801 Brewfield Dr., Redskin Trail, Wapakoneta, OH 45895 | 2009-03-03 |
| 1538331475 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 1251 Lincoln Avenue, Wapakoneta, OH 45895 | 2008-04-01 |
| 1275745754 | New Vision Nursing and Home Care LLC | Home Health | 310 Perry St, Wapakoneta, OH 45895 | 2007-05-04 |
| 1346461886 | Rudolph Lewis Vostatek | Dentist | 1101 Defiance Street, Wapakoneta, OH 45895 | 2007-05-01 |
| Find all providers in zip 45895 | ||||
| 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 |
|---|---|---|---|---|
| 1871896621 | Barbara Jill Cummins | Family Medicine | 807 Glynwood Road, Wapakoneta, OH 45895 | 2010-12-17 |
| 1598719817 | Lima Memorial Professional Corporation | Family Medicine | 1251 Lincoln Hwy Ste 1, Wapakoneta, OH 45895-7356 | 2006-05-20 |
| 1467429977 | Mathew M Jose | Family Medicine | 1015 S Blackhoof St, Wapakoneta, OH 45895-2209 | 2006-03-02 |
| 1053301614 | Parmie A Herman | Family Medicine | 1007 W Auglaize St, Wapakoneta, OH 45895-1351 | 2005-10-25 |
| 1053316489 | Susan M Kaufman | Family Medicine | 1251 Lincoln Hwy, Suite 1, Wapakoneta, OH 45895-7356 | 2005-06-13 |
| 1821251562 | Jamie A. Szelagowski | Family Medicine | 1007 W Auglaize St, Wapakoneta, OH 45895-1351 | 2008-07-02 |
| 1578756169 | Ethan William Hines | Family Medicine | 1251 Lincoln Hwy Ste 1, Wapakoneta, OH 45895 | 2007-08-27 |
| 1447352786 | Mathew M. Jose, M.d., Inc | Family Medicine | 1015 S Blackhoof St, Wapakoneta, OH 45895-2209 | 2006-09-05 |
| 1558463422 | Deron Horman, M.d., Inc | Family Medicine | 1015 S Blackhoof St, Wapakoneta, OH 45895-2209 | 2006-09-02 |
| 1497745137 | George A Herman | Family Medicine | 1007 W Auglaize St, Wapakoneta, OH 45895-1351 | 2005-10-25 |
| Find all providers in WAPAKONETA | ||||
| City | WAPAKONETA |
| Zip Code | 45895 |
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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.