Healthcare Provider Details

I. General information

NPI: 1780558171
Provider Name (Legal Business Name): NEXTGEN NURSE PRACTITIONER GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 DELAWARE AVE STE 106
MARION OH
43302-7462
US

IV. Provider business mailing address

PO BOX 113
PLAIN CITY OH
43064-0113
US

V. Phone/Fax

Practice location:
  • Phone: 740-387-5584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD LITMAN
Title or Position: OWNER
Credential: DNP, APRN-CNP
Phone: 330-209-9689