REGIONAL PHYSICIAN SERVICES OF OHIO PC (NPI# 1366756330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366756330 |
| Entity Type | Organization |
| Organization Name | REGIONAL PHYSICIAN SERVICES OF OHIO PC |
| Other Organization Name | MATRIX MEDICAL NETWORK |
| Practice Address |
1715 Indian Wood Cir Ste 200 Maumee OH 43537-4055 |
| Mailing Address |
9201 E Mountain View Rd Suite 220 Scottsdale AZ 85258 |
| Practice Telephone | 4808621677 |
| Practice Fax Number | 4807187643 |
| Mailing Telephone | 4808621700 |
| Mailing Fax Number | 4809071537 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING) |
| Authorized Official Telephone | 4808621695 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE HEALTH NETWORK INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Matrix Medical Network | Doing Business As Name - Organization |
| Street Address |
1715 INDIAN WOOD CIR STE 200 |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467492173 | Geriatric Psychiatric Services Pllc | Psychologist | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2006-06-08 |
| 1619584687 | Debra A Wilkins | Home Health | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2020-09-24 |
| 1124641394 | Kyle Wilson Wallace | Registered Nurse | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2020-05-22 |
| 1316598816 | Aloha Nutrition and Wellness | Dietitian, Registered | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2019-09-25 |
| 1114486628 | Jeffrey Kistler Lpcc LLC | Counselor | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2019-03-14 |
| 1821562216 | Amanda Vanhorne | Counselor | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2019-01-18 |
| 1366914954 | Stephanie Heinlein | Dietitian, Registered | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537 | 2018-12-20 |
| 1326558313 | Monique Chatman | Technician | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2017-10-04 |
| 1104271196 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2016-04-27 |
| 1518240571 | Tiffany L Brown | Nurse Practitioner | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2011-09-26 |
| Find all providers in the same location | ||||
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093226623 | Advanced Practice Clinical Consultants LLC | Nurse Practitioner | 6239 Fallen Timbers Ln, Maumee, OH 43537-9361 | 2017-10-23 |
| 1063951952 | Kevin Creedon | Nurse Practitioner | 5705 Monclova Rd Ste 201, Maumee, OH 43537-1877 | 2017-02-13 |
| 1033546130 | Timothy W Haupricht | Nurse Practitioner | 1715 Indian Wood Cir Ste 266&265, Maumee, OH 43537-4055 | 2013-10-03 |
| 1558546945 | Gbnp, LLC | Nurse Practitioner | 3521 Briarfield Blvd, Suite C, Maumee, OH 43537-9387 | 2008-01-03 |
| 1063072643 | Heather Cole | Nurse Practitioner | 1655 Holland Rd Ste F, Maumee, OH 43537-1656 | 2019-06-17 |
| 1306385182 | Katrina L Bressler | Nurse Practitioner | 6005 Monclova Rd Ste 320, Maumee, OH 43537-1862 | 2017-02-14 |
| 1992172886 | Billie J Buehrer | Nurse Practitioner | 5755 Monclova Rd, Maumee, OH 43537-1837 | 2015-08-26 |
| 1043686710 | Kristi Lorenc | Nurse Practitioner | 660 Beaver Creek Cir, #110, Maumee, OH 43537-1745 | 2015-08-18 |
| 1356694780 | Catherine Womack | Nurse Practitioner | 1715 Indian Wood Cir, Suite 200, Office 266 & 255, Maumee, OH 43537-4055 | 2012-10-23 |
| 1144575226 | Nancy Keeton | Nurse Practitioner | 5757 Monclova Rd, Suite15, Maumee, OH 43537-1863 | 2012-07-16 |
| 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.