| Fchc Medical Care, LLC | |
|
725 S Shoop Ave Wauseon OH 43567-1702 | |
| (419) 335-2015 | |
| (419) 330-2649 |
| Full Name | Fchc Medical Care, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 725 S Shoop Ave, Wauseon, Ohio |
| Authorized Official Name and Position | Patricia Finn (CEO) |
| Authorized Official Contact | 4193352015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fchc Medical Care, LLC 735 S Shoop Ave Wauseon OH 43567-1735 Ph: (419) 335-3242 | Fchc Medical Care, LLC 725 S Shoop Ave Wauseon OH 43567-1702 Ph: (419) 335-2015 |
| NPI Number | 1598821175 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 06/07/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 8022018704 |
|---|---|
| Medicare Enrollment ID | O20070103000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598821175 | NPI | - | NPPES |
| 2707324 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Charles J Gbur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184626483 PECOS PAC ID: 5890694632 Enrollment ID: I20031231000328 |
| Provider Name | Ted E Barber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568460111 PECOS PAC ID: 9537062542 Enrollment ID: I20040128000696 |
| Provider Name | George Thomas Maly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619968492 PECOS PAC ID: 9234190919 Enrollment ID: I20041026000224 |
| Provider Name | Kristen M Hug |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194705681 PECOS PAC ID: 2860419728 Enrollment ID: I20051031000018 |
| Provider Name | Charu Trivedi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386641397 PECOS PAC ID: 3971526914 Enrollment ID: I20060105000436 |
| Provider Name | Rex B Mowat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346247251 PECOS PAC ID: 1456374404 Enrollment ID: I20060105000500 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710985361 PECOS PAC ID: 1951324789 Enrollment ID: I20060109000031 |
| Provider Name | Kirk R Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639152978 PECOS PAC ID: 0345146890 Enrollment ID: I20060327000437 |
| Provider Name | Timothy C Kasunic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013975903 PECOS PAC ID: 2769494095 Enrollment ID: I20060703000014 |
| Provider Name | Beth a White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407859333 PECOS PAC ID: 5395658231 Enrollment ID: I20060822000299 |
| Provider Name | Sema J Fofung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922155563 PECOS PAC ID: 8921009671 Enrollment ID: I20070123000319 |
| Provider Name | Jana Bourn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821204124 PECOS PAC ID: 2769562230 Enrollment ID: I20080109000639 |
| Provider Name | Charles M Lash |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669573978 PECOS PAC ID: 3375620008 Enrollment ID: I20080404000786 |
| Provider Name | Daniel J Mckernan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669569091 PECOS PAC ID: 7810892338 Enrollment ID: I20080821000000 |
| Provider Name | Christopher J Spieles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467549816 PECOS PAC ID: 5799850061 Enrollment ID: I20080821000002 |
| Provider Name | Richard J Grieser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245216951 PECOS PAC ID: 6406936962 Enrollment ID: I20080917000059 |
| Provider Name | Ann M Steck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033320049 PECOS PAC ID: 0244381101 Enrollment ID: I20090706000611 |
| Provider Name | Richard C Phinney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215192703 PECOS PAC ID: 5496892887 Enrollment ID: I20091015000708 |
| Provider Name | Timothy George Duckett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902880602 PECOS PAC ID: 8426082041 Enrollment ID: I20100316000042 |
| Provider Name | Kathryn a Khandaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417254764 PECOS PAC ID: 0749464436 Enrollment ID: I20110404000750 |
| Provider Name | Scott J Deering |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245433036 PECOS PAC ID: 6002086634 Enrollment ID: I20110908002060 |
| Provider Name | David J Hammersmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447561550 PECOS PAC ID: 2567634439 Enrollment ID: I20111019000297 |
| Provider Name | Rebecca J Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285695775 PECOS PAC ID: 7416112347 Enrollment ID: I20120627000557 |
| Provider Name | Mirza Shahzad Hasan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477653467 PECOS PAC ID: 0749264554 Enrollment ID: I20120904000221 |
| Provider Name | Victor J Cherfan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841419421 PECOS PAC ID: 9234281296 Enrollment ID: I20130218000446 |
| Provider Name | Shaili J Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285845578 PECOS PAC ID: 8921245432 Enrollment ID: I20130430000478 |
| Provider Name | Marissa M Baus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376979286 PECOS PAC ID: 6608005459 Enrollment ID: I20140128000450 |
| Provider Name | Brent a Bernard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013257005 PECOS PAC ID: 8729217757 Enrollment ID: I20140214000630 |
| Provider Name | Kelsie Shehorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043635287 PECOS PAC ID: 3274765011 Enrollment ID: I20140410000829 |
| Provider Name | Billie J Denton-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912312422 PECOS PAC ID: 4385861624 Enrollment ID: I20140811002281 |
| Provider Name | Jessica Elyse Durham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659787463 PECOS PAC ID: 5799906426 Enrollment ID: I20141022001869 |
| Provider Name | Carrianne Marie Baden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689057606 PECOS PAC ID: 8527375021 Enrollment ID: I20150916001048 |
| Provider Name | Nicole L Mclennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497124978 PECOS PAC ID: 9133437783 Enrollment ID: I20150930002153 |
| Provider Name | Brian Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679913594 PECOS PAC ID: 9436440120 Enrollment ID: I20160922002908 |
| Provider Name | Lisa Diekman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902354079 PECOS PAC ID: 9830487230 Enrollment ID: I20161018002836 |
| Provider Name | Stefanie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437607124 PECOS PAC ID: 7012297427 Enrollment ID: I20161130002076 |
| Provider Name | Melinda S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164946612 PECOS PAC ID: 3274809165 Enrollment ID: I20171020000277 |
| Provider Name | Danajo Marie Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659897387 PECOS PAC ID: 3779849997 Enrollment ID: I20171103002002 |
| Provider Name | Bobbi Lee Schelkun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669971479 PECOS PAC ID: 7517213622 Enrollment ID: I20180703001520 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20180821002425 |
| Provider Name | Amber N Araiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063907012 PECOS PAC ID: 7315290665 Enrollment ID: I20181102001186 |
| Provider Name | Jennifer J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233613 PECOS PAC ID: 2365787181 Enrollment ID: I20181226002228 |
| Provider Name | Hayley L. Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376010728 PECOS PAC ID: 8820332596 Enrollment ID: I20190204002878 |
| Provider Name | Ahmad Abdelaal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255880738 PECOS PAC ID: 0244519973 Enrollment ID: I20190816001712 |
| Provider Name | Amy Miller White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447819313 PECOS PAC ID: 9638504251 Enrollment ID: I20200108001874 |
| Provider Name | Jacob J Grime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134751456 PECOS PAC ID: 8921907353 Enrollment ID: I20200310000399 |
| Provider Name | Nancy Ann Gilligan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467841155 PECOS PAC ID: 6901227412 Enrollment ID: I20200608002985 |
| Provider Name | Shaikh Fawwad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285180943 PECOS PAC ID: 7315278207 Enrollment ID: I20200901001029 |
| Provider Name | James Daniel Morlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881292241 PECOS PAC ID: 5395153480 Enrollment ID: I20210408001681 |
| Provider Name | Janna L Mennetti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861061707 PECOS PAC ID: 3678977121 Enrollment ID: I20210805003544 |
| Provider Name | Taylor Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447736939 PECOS PAC ID: 6608129226 Enrollment ID: I20210819003375 |
| Provider Name | Lindsey M Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275208100 PECOS PAC ID: 8123424835 Enrollment ID: I20210903001839 |
| Provider Name | Mary Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912536137 PECOS PAC ID: 2961809868 Enrollment ID: I20210920002443 |
| Provider Name | Haley M Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538826177 PECOS PAC ID: 2769873322 Enrollment ID: I20211215002897 |
| Provider Name | Leslie Clemensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073075164 PECOS PAC ID: 6608101514 Enrollment ID: I20220812003219 |
| Provider Name | Jill Crossgrove-murillo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679219984 PECOS PAC ID: 2961882170 Enrollment ID: I20221118002006 |
| Provider Name | Elizabeth Anne Barga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821625252 PECOS PAC ID: 5698196152 Enrollment ID: I20230510000833 |
| Provider Name | Imad Attar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942839063 PECOS PAC ID: 8224497938 Enrollment ID: I20230628003478 |
| Provider Name | Kyle Jordan Duckett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205374113 PECOS PAC ID: 3274804653 Enrollment ID: I20230803002777 |
| Provider Name | Paul Thomas Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295417236 PECOS PAC ID: 1052774940 Enrollment ID: I20230824003117 |
| Provider Name | Donna Nichter Sprunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437767043 PECOS PAC ID: 5294178224 Enrollment ID: I20240207001063 |
| Provider Name | Marianna Shimonova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003058405 PECOS PAC ID: 5193168581 Enrollment ID: I20240213003441 |
| Provider Name | Traven W Towns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598375248 PECOS PAC ID: 9638517808 Enrollment ID: I20240406000162 |
| Provider Name | Joseph Jablonski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902681463 PECOS PAC ID: 2466993084 Enrollment ID: I20240924000708 |
| Provider Name | Dawn Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376100065 PECOS PAC ID: 0042657108 Enrollment ID: I20241115000219 |
| Provider Name | Lekha Vemuru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265019616 PECOS PAC ID: 0941605737 Enrollment ID: I20250918003016 |
| Provider Name | Keith Shamrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730717356 PECOS PAC ID: 2163841297 Enrollment ID: I20250925000683 |
| Provider Name | Meredith Jill Zimmerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295692929 PECOS PAC ID: 2567943558 Enrollment ID: I20260227000450 |
Family Care of Wauseon LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 W Elm St, Wauseon, OH 43567 Phone: 419-335-4600 Fax: 416-335-4900 |
Wauseon Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-337-9990 Fax: 419-337-9996 |
Community Hospitals and Wellness Centers Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 447 N Shoop Ave, Wauseon, OH 43567 Phone: 419-337-7980 Fax: 419-337-8265 |
Everside Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 844 N Shoop Ave, Wauseon, OH 43567 Phone: 419-285-9002 |
Lima-umadaop LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3491 State Route 108, Wauseon, OH 43567 Phone: 419-720-9255 |
Hagerman Family Physicians, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 Depot St, Wauseon, OH 43567 Phone: 419-335-0351 Fax: 419-335-0397 |