MAGRUDER MEDICAL GROUP LTD NPI 1871015578

NPI Information

  • NPI: 1871015578
  • Provider Name: MAGRUDER MEDICAL GROUP LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 36D2179783
  • Address: 611 FULTON ST STE E
    PORT CLINTON, OH
    ZIP 43452
  • Phone: (419) 734-4539

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NPI Details

MAGRUDER MEDICAL GROUP LTD is a family medicine in Port Clinton, 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. MAGRUDER MEDICAL GROUP LTD NPI is 1871015578. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

611 FULTON ST STE E
PORT CLINTON, OH
ZIP 43452-008
Phone: (419) 734-4539
Fax: (419) 734-6365

The provider's authorized official is Jon T Almendinger .
The authorized official title is President & Ceo and has the following contact phone number (419) 734-3131.

The CLIA number assigned to this NPI record is 36D2179783 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 10/30/2020.

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 License Number License State Primary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207X00000XOrthopaedic SurgeryNo
4208600000XSurgeryNo
5363L00000XNurse PractitionerNo
6207Q00000XFamily MedicineYes

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: 3/30/2025

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