DR. JEFFREY A. PRUITT (NPI# 1689656696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689656696 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A. PRUITT |
| Credential | M.D. |
| Practice Address |
1400 E 2nd St Defiance OH 43512-2440 |
| Practice Telephone | 4197841414 |
| Mailing Telephone | 4197841414 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2011-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35062785P | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0878028 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407811219 | Jeffrey Hamilton Pruitt | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-18 |
| Street Address |
1400 E 2ND ST |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839313 | Donna J Augustine | Advanced Practice Midwife | 1400 E 2nd St, Defiance, OH 43512-2440 | 2005-05-23 |
| 1932722857 | Kendra L Cross | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512-2440 | 2020-05-27 |
| 1649758178 | Brian Laubenthal | Occupational Therapy Assistant | 1400 E 2nd St, Defiance, OH 43512-2440 | 2018-08-06 |
| 1295227437 | Crystal Kline | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512 | 2018-06-04 |
| 1205340791 | Kristiane Grime | Physical Therapist | 1400 E 2nd St, Defiance, OH 43512-2440 | 2017-11-21 |
| 1336659069 | Jennifer L Yeager | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512-2440 | 2017-10-09 |
| 1437688330 | Kendra Mccann | Speech-Language Pathologist | 1400 E 2nd St, Defiance, OH 43512-2440 | 2017-06-06 |
| 1225480189 | Michelle A. Bacon | Registered Nurse | 1400 E 2nd St, Defiance, OH 43512-2440 | 2016-07-04 |
| 1134593403 | Matthew Cross | Physical Therapy Assistant | 1400 E 2nd St, Defiance, OH 43512-2440 | 2015-11-24 |
| 1548634181 | Danah Jacks | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512-2440 | 2015-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306280854 | Jeffrey Robert Walters | Surgery | 1400 E 2nd St, Defiance, OH 43512 | 2013-04-26 |
| 1861765083 | David Dae We Kim | Surgery | 1400 E 2nd St, Defiance, OH 43512 | 2012-02-18 |
| 1801923503 | Promedica West Physicians, LLC | Surgery | 1250 Ralston Ave, Suite 203, Defiance, OH 43512-5311 | 2007-02-28 |
| 1184729386 | Truman Frederick Weigand Jr. | Surgery | 1250 Ralston Ave Ste 204, Defiance, OH 43512-5309 | 2006-09-13 |
| 1104858745 | John W Shaw | Surgery | 1400 E 2nd St, Defiance, OH 43512-2440 | 2006-07-06 |
| 1174564090 | Souheil Al-jadda | Surgery | 1400 E 2nd St, Defiance, OH 43512-2440 | 2006-06-10 |
| 1588614101 | William H. Strawter | Surgery | 1250 Ralston Ave, Suite 203, Defiance, OH 43512-5311 | 2006-05-12 |
| 1396742078 | Joe W Sayre | Surgery | 1250 Ralston Ave, Suite 203, Defiance, OH 43512-5311 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
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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.