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NPI Code Detail

MEDICARE: NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC.

MEDICARE: NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35057334OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11598755712OTHEROHNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164452348
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC.
Provider Business Mailing Address
First Line : 20311 PEMBERVILLE RD
Second Line :
City : PEMBERVILLE
State : OH
Zip : 43450-9413
Country : US
Telephone Number : 419-833-4700
Fax Number : 419-833-7401
Provider Business Practice Location Address
First Line : 20311 PEMBERVILLE RD
Second Line :
City : PEMBERVILLE
State : OH
Zip : 43450-9413
Country : US
Telephone Number : 419-833-4700
Fax Number : 419-833-7401
Authorized Official
Title or Position : PHYSICIAN
Name : DR. JOHN PIERCE
Credential : M.D.
Telephone Number : 419-833-4700
Provider Enumeration Date : 07/04/2006
Last Update Date : 08/22/2020

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