| Dr Jordan Kristopher Romick, DO | |
|
1479 N River Rd, Fremont, OH 43420-9760 | |
| (419) 355-9440 | |
| (419) 355-9443 |
| Full Name | Dr Jordan Kristopher Romick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 3 Years |
| Location | 1479 N River Rd, Fremont, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093219404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036162019 (Illinois) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 34.018288 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity - Illinois Auc Llp | 0547516932 | 32 |
| Southern Illinois Health Care Foundation Inc | 1456256874 | 121 |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Entity Name | Vituity - Illinois Auc Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306334198 PECOS PAC ID: 0547516932 Enrollment ID: O20180627000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Kristopher Romick, DO 1479 N River Rd, Fremont, OH 43420-9760 Ph: (419) 355-9440 | Dr Jordan Kristopher Romick, DO 1479 N River Rd, Fremont, OH 43420-9760 Ph: (419) 355-9440 |
Dr. James Randall Richard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2221 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8943 | |
Mary F Bower, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-355-9440 Fax: 419-355-9443 | |
Dr. Philip A. Edgar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6661 Fax: 419-334-6685 | |
Dr. Howard G. Stierwalt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2575 Hayes Ave, Suite 3, Fremont, OH 43420 Phone: 419-332-7371 Fax: 419-332-7989 | |
Dr. Naheed Sufi, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6657 Fax: 419-334-6637 | |
Dr. Jonathan F. Diller, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-332-9978 Fax: 419-332-7989 |