PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC (NPI# 1609084375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609084375 |
| Entity Type | Organization |
| Organization Name | PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC |
| Practice Address |
1205 Fairington Dr Sidney OH 45365-8144 |
| Practice Telephone | 9374928431 |
| Practice Fax Number | 9374985126 |
| Mailing Telephone | 9374928431 |
| Mailing Fax Number | 9374985126 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | JEANIE BOSSLET (PRACTICE MANAGER) |
| Authorized Official Telephone | 9374928431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1205 FAIRINGTON DR |
| City | SIDNEY |
| State | OH |
| Zip Code | 45365-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195767 | Kenneth Bosslet | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2005-06-24 |
| 1396109963 | Cara Wolters | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2016-04-11 |
| 1770979346 | Edward Osharhire Omerhi | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365 | 2015-04-10 |
| 1083754287 | Eric David Vanfossen | Physician Assistant | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2007-02-07 |
| 1023014966 | Stephen Justice | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750881660 | Mary Jean Carpenter | Social Worker | 2338 Aldrin Dr, Sidney, OH 45365 | 2018-02-16 |
| 1568979045 | Healthstat Onsiet Clinic Nk Parts | Preventive Medicine | 800 S Kuther Rd, Sidney, OH 45365 | 2018-01-05 |
| 1225565427 | Courtney Lynn Spearman | Speech-Language Pathologist | 1152 St. Marys Avenue, Sidney, OH 45365 | 2017-05-18 |
| 1710381439 | Tammy Bridenbaugh | Nursing Care | 1028 N. Broadway, Sidney, OH 45365 | 2014-10-09 |
| 1568897346 | Rachelle Kistner | Counselor | 1065 Fairington Dr, Sidney, OH 45365 | 2013-09-11 |
| 1073955670 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 | 2013-07-24 |
| 1023350394 | Honey Gem Drinnen | Licensed Practical Nurse | 416 Ironwood Drive, Sidney, OH 45365 | 2013-03-25 |
| 1376853325 | Jamey Leigh Hepner | Nurse Practitioner | 1101 N Vandemark Rd, Sidney, OH 45365 | 2010-10-08 |
| 1578701850 | Fairlawn Local Schools | Local Education Agency (LEA) | 18000 Johnston Rd, Sidney, OH 45365 | 2009-01-26 |
| 1730345398 | Angela Castle | Counselor | 1101 N Vandermark Rd., Sidney, OH 45365 | 2008-08-04 |
| Find all providers in zip 45365 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089585 | Tanya Millicent Kyler | General Practice | 512 Shorb Ave Nw Apt 3, Canton, OH 44703-2580 | 2020-10-05 |
| 1053928499 | Ontario Medical Spine and Joint | General Practice | 2262 Stumbo Rd, Ontario, OH 44906-3804 | 2020-09-29 |
| 1437788874 | Syed, LLC | General Practice | 366 Birchbrook Ct, Centerville, OH 45458-9718 | 2020-04-07 |
| 1982237681 | Hydreight Usa LLC | General Practice | 16738 Pearl Rd, Strongsville, OH 44136-6049 | 2020-02-20 |
| 1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC.
| 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.