MEDICARE: JEFFREY B NOFTZ II M.D.

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
1	207Q00000X	Family Medicine Physician	35082989N	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H056814	OTHER	OH	MEDICARE PTAN
2	DA5101	OTHER	OH	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1063416733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY B NOFTZ II M.D.

Provider Business Mailing Address
First Line	:	7595 COUNTY ROAD 236
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-8738
Country	:	US
Telephone Number	:	419-724-1984
Fax Number	:	419-728-3020

Provider Business Practice Location Address
First Line	:	1069 KLOTZ RD STE A
Second Line	:
City	:	BOWLING GREEN
State	:	OH
Zip	:	43402-4832
Country	:	US
Telephone Number	:	419-728-0110
Fax Number	:	419-728-0113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/14/2019

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