MR. SEMA JUSTUS FOFUNG (NPI# 1922155563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922155563 |
| Entity Type | Individual |
| Full Name | MR. SEMA JUSTUS FOFUNG |
| Credential | D.O. |
| Practice Address |
735 South Shoop Avenue Suite 3 Wauseon OH 43567 |
| Practice Telephone | 4193356377 |
| Practice Fax Number | 4193356807 |
| Mailing Telephone | 4193356377 |
| Mailing Fax Number | 4193356807 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 34-007671 | OH | Other Service Providers |
| N | 174400000X | Specialist | 34007671 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2317479 | 05 |
| Street Address |
735 SOUTH SHOOP AVENUE SUITE 3 |
| City | WAUSEON |
| State | OH |
| Zip Code | 43567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302619 | Lisa Michelle Aschliman | Physical Therapy Assistant | 138 E Elm St. Fulton Co Health Center Rehab, Wauseon, OH 43567 | 2017-08-22 |
| 1245755164 | Kimberly Sue Fall | Home Health | 847 Wood Street, Wauseon, OH 43567 | 2017-08-11 |
| 1639580160 | Julie Ann Leatherman | Social Worker | 241 Philomena Dr, Wauseon, OH 43567 | 2014-05-19 |
| 1194054916 | Jessica Sue Demaline | Social Worker | 7320 State Hughway 108, Suite A, Wauseon, OH 43567 | 2009-12-08 |
| 1659503043 | Crissi L Stuckey | Physical Therapist | 303 West Leggett Street, Wauseon, OH 43567 | 2009-08-18 |
| 1912194614 | Family Services of Nw Ohio Suite 414 Toledo, Ohio 43604 | Community/Behavioral Health | 7320 State Hwy 108, Wauseon, OH 43567 | 2007-09-27 |
| 1750508768 | Renal Treatment Centers Illinois Inc | Clinic/Center | 721 S Shoop Ave, Wauseon, OH 43567 | 2007-04-19 |
| 1679679948 | Jessye Hartman | Physical Therapist | 138 E Elm St, Wauseon, OH 43567 | 2006-09-15 |
| 1336155837 | James A Williams | Chiropractor | 1485 N Shoop Ave, Wauseon, OH 43567 | 2006-08-01 |
| 1265427892 | Fulton County Health Center | Skilled Nursing Facility | 723 South Shoop Avenue, Wauseon, OH 43567 | 2005-09-20 |
| Find all providers in zip 43567 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417918251 | Estela Miquiabas, Md | Specialist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887100 | Cheryl Ann Scribben | Specialist | 550 W Hutton Rd, Wooster, OH 44691-8573 | 2020-09-29 |
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1710595327 | Katelyn Marie Gurren | Specialist | 5050 Madison Rd # N, Cincinnati, OH 45227-1491 | 2020-07-20 |
| 1497384333 | Robert Rider | Specialist | 2077 Miamisburg Centerville Rd, Dayton, OH 45459-3846 | 2020-04-03 |
| 1669006789 | Brenna Paige Thompson | Specialist | 357 Tipperary Loop, Delaware, OH 43015-1677 | 2020-02-27 |
| 1891327755 | Dejuan Julius Nelson | Specialist | 4937 Mcallister Ave, Columbus, OH 43227-1447 | 2020-02-09 |
| 1104457795 | David B. Beltz | Specialist | 6911 Ravenna Ave Ne, Louisville, OH 44641-4464 | 2020-01-31 |
| 1346870342 | Lori Ann Study | Specialist | 11 S Miami St, West Milton, OH 45383-1810 | 2020-01-19 |
| 1306481676 | Big Heads Barber Salon | Specialist | 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 | 2019-11-11 |
| 1124662069 | Christle Rose Peter | Specialist | 3450 W Central Ave Ste 126, Toledo, OH 43606-1421 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
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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.