Paul J Opsahl (NPI# 1619953742, PAC ID# 0042248932) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619953742 |
| PAC ID by PECOS | 0042248932 |
| Professional Enrollment ID | I20050802000056 |
| Full Name | Paul J Opsahl |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Address |
4353e State Route 73 Waynesville OH 45068-8812 |
| Phone Number | 5138970085 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860386349 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361331 | FAYETTE COUNTY MEMORIAL HOSPITAL |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360179 | BETHESDA NORTH |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| 360051 | MIAMI VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4353e State Route 73, Waynesville, OH 45068-8812 | 5138970085 | PROVIDENCE MEDICAL GROUP |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Kay Edwards | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073 |
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Krista A Miller | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Meta Lisa Howard | Nurse Practitioner | Providence Medical Group | 400 Corporate Ctr Dr, Vandalia, OH 45377-1164 |
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Shane T Sampson | Family Medicine | Providence Medical Group | 2912 Springboro W, Moraine, OH 45439-1674 |
| Mary F Sroga | Nurse Practitioner | Providence Medical Group | 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 |
| James R Fisco | Family Medicine | Providence Medical Group | 70 Remick Blvd, Springboro, OH 45066-9168 |
| Street Address |
4353E STATE ROUTE 73 |
| City | WAYNESVILLE |
| State | OH |
| Zip | 45068-8812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad D Combs | Chiropractic | 243 S Main St, Waynesville, OH 45068-0483 | |
| James K Byers | Chiropractic | 139 State Route 42, Waynesville, OH 45068-6801 | |
| Melissa Gargasz | Family Medicine | Dr Melissa Gargasz Urgent Care LLC | 4353 E State Route 73, Suite 150, Waynesville, OH 45068-8829 |
| Courtney Brett Buck | Nurse Practitioner | Dr Melissa Gargasz Urgent Care LLC | 4353 E State Route 73, Suite 150, Waynesville, OH 45068-8829 |
| Jordan Lenae Glover | Nurse Practitioner | Dr Melissa Gargasz Urgent Care LLC | 4353 E State Route 73, Suite 150, Waynesville, OH 45068-8829 |
| Eric Joseph Bailey | Physician Assistant | Dr Melissa Gargasz Urgent Care LLC | 4353 E State Route 73, Suite 150, Waynesville, OH 45068-8829 |
| Danny R Smart Jr. | Optometry | 4353 E State Route 73, Suite 170, Waynesville, OH 45068-8838 | |
| Rebecca M Bryant | Nurse Practitioner | Np Home Visits LLC | 3063 Harveysburg Rd, Waynesville, OH 45068-9420 |
| Stacy Renee Doyle | Nurse Practitioner | Np Home Visits LLC | 3063 Harveysburg Rd, Waynesville, OH 45068-9420 |
| Holly Papanek | Internal Medicine | Weller Health Transitions | 514 High St, Waynesville, OH 45068-9784 |
| Find all physicians in zip 45068 | |||
| City | WAYNESVILLE |
| Zip Code | 45068 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WAYNESVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Paul J Opsahl.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.