Healthcare Provider Details

I. General information

NPI: 1922627611
Provider Name (Legal Business Name): BENJAMIN J HAMMER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1098
US

IV. Provider business mailing address

885 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1098
US

V. Phone/Fax

Practice location:
  • Phone: 419-294-1973
  • Fax: 419-294-1948
Mailing address:
  • Phone: 419-294-1973
  • Fax: 419-294-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34.016221
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number34.016221
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: