JTDM FAMILY PRACTICE LLC NPI 1184652539

NPI Information

NPI: 1184652539
Provider Name: JTDM FAMILY PRACTICE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 SAINT CLAIR AVE
ST MARYS, OH
ZIP 45885
Phone: (419) 394-3335
Get Directions

JTDM FAMILY PRACTICE LLC is a family medicine in St Marys, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JTDM FAMILY PRACTICE LLC NPI is 1184652539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 SAINT CLAIR AVE
ST MARYS, OH
ZIP 45885-400
Phone: (419) 394-3335
Fax: (419) 394-8485

The provider's authorized official is Tricia A Pohl .
The authorized official title is Vice President Of Finance and has the following contact phone number (419) 394-3335.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 2/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163W00000X	Registered Nurse		No
2	207V00000X	Obstetrics & Gynecology		No
3	207X00000X	Orthopaedic Surgery		No
4	207Y00000X	Otolaryngology		No
5	208000000X	Pediatrics		No
6	2084N0400X	Psychiatry & Neurology	Neurology	No
7	208600000X	Surgery		No
8	208800000X	Urology		No
9	213E00000X	Podiatrist		No
10	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
11	332B00000X	Durable Medical Equipment & Medical Supplies		No
12	363A00000X	Physician Assistant		No
13	363LF0000X	Nurse Practitioner	Family	No
14	367A00000X	Advanced Practice Midwife		No
15	207Q00000X	Family Medicine		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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