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NORTH COAST PROFESSIONAL COMPANY LLC NPI 1881648210


NPI Information

NPI: 1881648210
Provider Name: NORTH COAST PROFESSIONAL COMPANY, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1031 PIERCE ST
SUITE D
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-5541
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NORTH COAST PROFESSIONAL COMPANY, LLC is an internal medicine in Sandusky, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NORTH COAST PROFESSIONAL COMPANY, LLC NPI is 1881648210. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1031 PIERCE ST
SUITE D
SANDUSKY, OH
ZIP 44870-669
Phone: (419) 557-5541
Fax: (419) 557-5542

The provider's authorized official is Janis Shriver .
The authorized official title is Vice President and has the following contact phone number (419) 557-5540.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 11/4/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation PractitionerNo
2363L00000XNurse PractitionerNo
3207RN0300XInternal MedicineNephrologyNo
4207Q00000XFamily MedicineNo
5208000000XPediatricsNo
6207RI0200XInternal MedicineInfectious DiseaseNo
7364S00000XClinical Nurse SpecialistNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207RS0012XInternal MedicineSleep MedicineNo
10207RC0200XInternal MedicineCritical Care MedicineNo
11163W00000XRegistered NurseNo
122083X0100XPreventive MedicineOccupational MedicineNo
13207R00000XInternal MedicineYes
14208200000XPlastic SurgeryNo
15207V00000XObstetrics & GynecologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12021707MEDICAIDOHIO
29232622MEDICARE PINOHIO

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: 11/14/2023

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