MARYSVILLE PRIMARY CARE, INC (NPI# 1932156742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932156742 |
| Entity Type | Organization |
| Organization Name | MARYSVILLE PRIMARY CARE, INC |
| Practice Address |
1044 Columbus Ave Marysville OH 43040-8337 |
| Practice Telephone | 9376441441 |
| Practice Fax Number | 9376427760 |
| Mailing Telephone | 9376441441 |
| Mailing Fax Number | 9376427760 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BETH L BRAKE (OFFICE MANAGER/PARTNER) |
| Authorized Official Telephone | 9376441441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208000000X | Pediatrics | 57093 | OH | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 58625 | OH | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 57093 | OH | Allopathic & Osteopathic Physicians |
| X | 207K00000X | Allergy & Immunology | 35073238M | OH | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 35073238M | OH | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | 35073238M | OH | Allopathic & Osteopathic Physicians |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN215818 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN186421 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1044 COLUMBUS AVE |
| City | MARYSVILLE |
| State | OH |
| Zip Code | 43040-8337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285682724 | Julie A Sabo | Nurse Practitioner | 1044 Columbus Ave, Marysville, OH 43040-8337 | 2006-05-05 |
| 1285175893 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 1044 Columbus Ave, Marysville, OH 43040-8337 | 2017-03-15 |
| 1427233782 | Jennifer Christine Swan | Podiatrist | 1044 Columbus Ave, Marysville, OH 43040-8337 | 2008-01-07 |
| 1225087513 | David T Applegate II | Family Medicine | 1044 Columbus Ave, Marysville, OH 43040-8337 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526951 | Amy Crain | In Home Supportive Care | 11555 Us Rt. 36, Marysville, OH 43040 | 2020-10-22 |
| 1669955415 | Kevin Decot | Acupuncturist | 211 Stocksdale Drive, Marysville, OH 43040 | 2018-09-07 |
| 1063941417 | Luke Schweiss Dmd Inc. | Dentist | 951 N Maplestreet, Marysvile, OH 43040 | 2017-06-08 |
| 1962943480 | Mande Postle | Social Worker | 16920 Square Dr., Marysville, OH 43040 | 2017-03-16 |
| 1902341688 | John Edward Kleinman | Specialist | 1361 Oak Knoll Court, Marysville, OH 43040 | 2017-01-04 |
| 1598211096 | Cynthia Marie Oberdier | Massage Therapist | 16501 Square Dr, Marysville, OH 43040 | 2016-08-25 |
| 1861946535 | Michele Hope Miley-scott | Counselor | 18200 St Rt 4r, Marysville, OH 43040 | 2016-08-10 |
| 1508219015 | Tonya M Grubb | Private Vehicle | 670 Rainbow Dr, Marysville, OH 43040 | 2016-07-20 |
| 1346636826 | Tara L Nickle | Social Worker | 1479 Collins Ave., Ohio Reformatory for Women, Marysville, OH 43040 | 2015-04-10 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| Find all providers in zip 43040 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477735009 | North State Health Clinic, Inc. | Pediatrics | 314 H St, Ste-a, Marysville, CA 95901-5832 | 2007-12-05 |
| 1174718985 | Mill Valley Pediatrics, Inc. | Pediatrics | 1140 Charles Ln, Marysville, OH 43040-9797 | 2007-09-14 |
| 1497947782 | Chukwuemeka Ndulue | Pediatrics | 825 9th St, Ste C, Marysville, CA 95901-5265 | 2007-08-10 |
| 1154367084 | Cheryl Kaye Kirkby | Pediatrics | 17853 State Route 31, Suite C, Marysville, OH 43040-9609 | 2006-06-21 |
| 1437159241 | Nikola T Alain | Pediatrics | 610 S Plum St, Marysville, OH 43040-1630 | 2005-07-22 |
| 1235591058 | Janna Lam Keenan | Pediatrics | 4420 76th St Ne, Marysville, WA 98270 | 2016-03-22 |
| 1942694476 | Kelley Jean Kadunc | Pediatrics | 2901 174th St Ne, Marysville, WA 98271-4743 | 2015-03-23 |
| 1265839476 | Yuba Health Clinic, Inc | Pediatrics | 527 E St, Marysville, CA 95901-5529 | 2014-12-03 |
| 1699192658 | Wei-jen Hsieh | Pediatrics | 2901 174th St Ne, Marysville, WA 98271-4743 | 2014-03-27 |
| 1508204009 | Thiyagu Ganesan | Pediatrics | 5730 Packard Avenue, Suite No: 500, Marysville, CA 95993 | 2013-06-06 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 43040 |
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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.