JTDM FAMILY PRACTICE LLC (NPI# 1750937090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750937090 |
| Entity Type | Organization |
| Organization Name | JTDM FAMILY PRACTICE LLC |
| Practice Address |
1013 E Spring St Saint Marys OH 45885-2447 |
| Mailing Address |
200 Saint Clair Ave Saint Marys OH 45885-2400 |
| Practice Telephone | 4193948664 |
| Practice Fax Number | 4193941148 |
| Mailing Telephone | 4193943335 |
| Mailing Fax Number | 4193948485 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | JEFFREY W VOSSLER (CFO) |
| Authorized Official Telephone | 4193943335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Grand Lake Foot and Ankle Center | 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 |
| 1932670023 | Jtdm Family Practice LLC | Durable Medical Equipment & Medical Supplies | 123 Hamilton St, Celina, OH 45822-1909 | 2018-12-16 |
| 1356772255 | Jtdm Family Practice LLC | Family Medicine | 812 Redskin Trl, Wapakoneta, OH 45895-8545 | 2013-12-03 |
| 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 |
1013 E SPRING ST |
| City | SAINT MARYS |
| State | OH |
| Zip Code | 45885-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386090843 | Christopher John Stucke | Podiatrist | 1013 E Spring St, Saint Marys, OH 45885-2447 | 2016-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232417 | Dimensional Wellness LLC | Counselor | 150 1/2 E. High St., Saint Marys, OH 45885 | 2020-07-13 |
| 1124679519 | Wishing Well Clinic & Spa, LLC | Massage Therapist | 153 E, Spring Street, St Marys, OH 45885 | 2019-09-26 |
| 1720633639 | Grand Lake Operations, LLC | Assisted Living Facility | 1035 Hager Street, Saint Marys, OH 45885 | 2019-08-07 |
| 1225436439 | Sharon Schnell | Pharmacist | 200 St. Clair Ave, St. Marys, OH 45885 | 2014-12-22 |
| 1851692669 | Gregory J Walter | Pharmacist | 1052 E. Spring St., St. Marys, OH 45885 | 2010-11-10 |
| 1578708053 | St Marys City Board of Education | Local Education Agency (LEA) | 2250 State Route 66, Saint Marys, OH 45885 | 2008-12-11 |
| 1104098037 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 510 East Spring Street, St Marys, OH 45885 | 2008-04-01 |
| 1598869646 | Pajka Eye Center Inc | Ophthalmology | 200 St Clair, Joint Township District Memorial Hospital, St Marys, OH 45885 | 2006-09-11 |
| 1487664306 | Chalasani Md Inc. | Internal Medicine | 1300 Greenville Rd., St. Marys, OH 45885 | 2006-08-09 |
| 1821007949 | Kenneth Lance Bryant | Surgery | 1300 Greenville Rd Ste B, Saint Marys, OH 45885 | 2006-08-07 |
| Find all providers in zip 45885 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564970 | Dezz, Inc | Durable Medical Equipment & Medical Supplies | 735 Kingsbay Rd, Saint Marys, GA 31558-3807 | 2019-08-23 |
| 1679099311 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1380 N Pleasants Hwy, Saint Marys, WV 26170-4541 | 2017-08-15 |
| 1306224498 | Cumberland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 104 Lakeshore Dr Ste C, Saint Marys, GA 31558-3809 | 2015-05-11 |
| 1285071969 | Richard Bradham Inc | Durable Medical Equipment & Medical Supplies | 685 Kingsbay Rd, Saint Marys, GA 31558-3889 | 2013-06-04 |
| 1407046121 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 901 South Saint Marys Street, Saint Marys, PA 15857-2828 | 2007-07-30 |
| 1861511008 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | 1275 Greenville Rd, Saint Marys, OH 45885-9352 | 2007-03-28 |
| 1720182785 | Dm Sutherland Co LLC | Durable Medical Equipment & Medical Supplies | 520 W Bertrand Ave, Saint Marys, KS 66536-1695 | 2006-09-12 |
| 1427151265 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2700 Osborne Rd, Saint Marys, GA 31558-8907 | 2006-09-07 |
| 1790894020 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 1502 Executive Drive, Saint Marys, OH 45885-3317 | 2006-08-30 |
| 1730106055 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6586 Highway 40, Saint Marys, GA 31558-4039 | 2006-07-16 |
| Find all providers in SAINT MARYS | ||||
| City | SAINT MARYS |
| Zip Code | 45885 |
Please comment or provide details below to improve the information on JTDM FAMILY PRACTICE LLC.
| 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.