| Mercy Health Physicians - Defiance Clinic | |
|
1400 E Second St Defiance OH 43512-2440 | |
| (419) 784-1414 | |
| Not Available |
| Full Name | Mercy Health Physicians - Defiance Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 E Second St, Defiance, Ohio |
| Authorized Official Name and Position | Olivia Dacre (CFO, MEDICAL GROUP) |
| Authorized Official Contact | 4192519650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Physicians - Defiance Clinic 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: () - | Mercy Health Physicians - Defiance Clinic 1400 E Second St Defiance OH 43512-2440 Ph: (419) 784-1414 |
| NPI Number | 1669756532 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 0244407823 |
|---|---|
| Medicare Enrollment ID | O20120123000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669756532 | NPI | - | NPPES |
| 0057671 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Abdul Azim Mustapha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063409324 PECOS PAC ID: 8820990864 Enrollment ID: I20040121000962 |
| Provider Name | Shivaprasad K Shetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235133190 PECOS PAC ID: 5991607863 Enrollment ID: I20040123000793 |
| Provider Name | Vijay K Mahajan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568453959 PECOS PAC ID: 7719896364 Enrollment ID: I20040203000891 |
| Provider Name | Raza Hashmi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447244306 PECOS PAC ID: 1153219266 Enrollment ID: I20040309001502 |
| Provider Name | James A Tita |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811988579 PECOS PAC ID: 0244122828 Enrollment ID: I20040329000039 |
| Provider Name | Ameer Kabour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861485104 PECOS PAC ID: 1254326606 Enrollment ID: I20040416000242 |
| Provider Name | Raheel Jamal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669463329 PECOS PAC ID: 8426044272 Enrollment ID: I20040426000477 |
| Provider Name | Steven Paul Haman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073586020 PECOS PAC ID: 1658361365 Enrollment ID: I20040514000730 |
| Provider Name | Steven M Ariss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720085566 PECOS PAC ID: 0143203232 Enrollment ID: I20040610000196 |
| Provider Name | Mitchell Gordon Greenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740247568 PECOS PAC ID: 3072583509 Enrollment ID: I20040730000359 |
| Provider Name | Jonathan David Rohdy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225010580 PECOS PAC ID: 4587632666 Enrollment ID: I20040917000510 |
| Provider Name | Marie Morelli Greenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447217864 PECOS PAC ID: 0143299362 Enrollment ID: I20040924000922 |
| Provider Name | Peter J Montrie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144207895 PECOS PAC ID: 9739142803 Enrollment ID: I20041109001058 |
| Provider Name | Balhinder Singh Brar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760489025 PECOS PAC ID: 4789647884 Enrollment ID: I20041109001246 |
| Provider Name | Syed M Abidi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831196195 PECOS PAC ID: 1052374154 Enrollment ID: I20041109001253 |
| Provider Name | Tarif A Kanaan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407858061 PECOS PAC ID: 7719938885 Enrollment ID: I20050207000090 |
| Provider Name | Stavros R Karatsoridis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588645394 PECOS PAC ID: 2163461922 Enrollment ID: I20050502000028 |
| Provider Name | Amy Jo Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811979289 PECOS PAC ID: 0345284493 Enrollment ID: I20050620000351 |
| Provider Name | Steven Christian Copeland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265411201 PECOS PAC ID: 1658308069 Enrollment ID: I20050718000659 |
| Provider Name | Cathy L Cantor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538160734 PECOS PAC ID: 7315977139 Enrollment ID: I20050822000098 |
| Provider Name | Srinivas Katragadda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861483521 PECOS PAC ID: 9436176328 Enrollment ID: I20051031000272 |
| Provider Name | John W Shaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104858745 PECOS PAC ID: 9830081413 Enrollment ID: I20051229000015 |
| Provider Name | Armando M Vicente |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487651444 PECOS PAC ID: 0143243964 Enrollment ID: I20060109000013 |
| Provider Name | David C Vicente |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295732238 PECOS PAC ID: 1850314535 Enrollment ID: I20060109000614 |
| Provider Name | Christopher J Kalb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952347338 PECOS PAC ID: 4486677002 Enrollment ID: I20060110000727 |
| Provider Name | Raja S Goli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598719940 PECOS PAC ID: 2961492863 Enrollment ID: I20060215000434 |
| Provider Name | Salvatore Veltri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518949494 PECOS PAC ID: 5294742862 Enrollment ID: I20060308000001 |
| Provider Name | Sreekanth Venkata Indurti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306801956 PECOS PAC ID: 5193732105 Enrollment ID: I20060316000273 |
| Provider Name | Melanie Caroline Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922148147 PECOS PAC ID: 7113935842 Enrollment ID: I20060322000433 |
| Provider Name | David S Passerini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235180746 PECOS PAC ID: 3577574953 Enrollment ID: I20060523000107 |
| Provider Name | Brian John Savage |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043217334 PECOS PAC ID: 8022071117 Enrollment ID: I20070308000381 |
| Provider Name | David Allen Beeks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013948058 PECOS PAC ID: 1759486376 Enrollment ID: I20070410000413 |
| Provider Name | Thomas Schrimpf |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023089026 PECOS PAC ID: 1658478003 Enrollment ID: I20070518000198 |
| Provider Name | Anna Marie Mcmaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992788210 PECOS PAC ID: 9133228687 Enrollment ID: I20070625000007 |
| Provider Name | Mirza M Baig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003943879 PECOS PAC ID: 7911006317 Enrollment ID: I20070626000594 |
| Provider Name | Brian L Bachelder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356439228 PECOS PAC ID: 2163418617 Enrollment ID: I20071008000308 |
| Provider Name | Donna Jean Augustine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205839313 PECOS PAC ID: 2567531015 Enrollment ID: I20080523000125 |
| Provider Name | Saleem S Zafar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003085226 PECOS PAC ID: 2466524459 Enrollment ID: I20080708000666 |
| Provider Name | Krishna Ragothaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295738235 PECOS PAC ID: 9537127410 Enrollment ID: I20081205000202 |
| Provider Name | Monica J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962651349 PECOS PAC ID: 0345301149 Enrollment ID: I20081211000851 |
| Provider Name | Laurence M Baibak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255303590 PECOS PAC ID: 4880747682 Enrollment ID: I20090727000415 |
| Provider Name | Irfan Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740409333 PECOS PAC ID: 2668528944 Enrollment ID: I20090929000358 |
| Provider Name | Emily R Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851626600 PECOS PAC ID: 0648319822 Enrollment ID: I20091201000284 |
| Provider Name | Tricia W Vandehey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053302471 PECOS PAC ID: 0042359739 Enrollment ID: I20091210000049 |
| Provider Name | John D Reeves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336120856 PECOS PAC ID: 4183516768 Enrollment ID: I20091210000517 |
| Provider Name | Peter Lenhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831170646 PECOS PAC ID: 1052408713 Enrollment ID: I20091210000554 |
| Provider Name | Rita A Rohrs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972584175 PECOS PAC ID: 3375683907 Enrollment ID: I20091211000700 |
| Provider Name | Stephen M Knipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255314670 PECOS PAC ID: 3173685336 Enrollment ID: I20100104000207 |
| Provider Name | Gary E Okuley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144211558 PECOS PAC ID: 0042307704 Enrollment ID: I20100201000351 |
| Provider Name | Prasad N Policherla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619959665 PECOS PAC ID: 6204979016 Enrollment ID: I20100202000503 |
| Provider Name | Martha Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285965764 PECOS PAC ID: 4981731262 Enrollment ID: I20100419000050 |
| Provider Name | Edward J Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770595894 PECOS PAC ID: 1456480615 Enrollment ID: I20100526000399 |
| Provider Name | Lanla F Conteh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497964399 PECOS PAC ID: 7517098544 Enrollment ID: I20100708000233 |
| Provider Name | Nauman Shahid |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396901245 PECOS PAC ID: 7113071838 Enrollment ID: I20100924001081 |
| Provider Name | Jeffrey A Pruitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689656696 PECOS PAC ID: 2365334182 Enrollment ID: I20101004000974 |
| Provider Name | Khalil A Raffoul |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407851736 PECOS PAC ID: 2264548221 Enrollment ID: I20101008000178 |
| Provider Name | Bikram S Johar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558364679 PECOS PAC ID: 9931162021 Enrollment ID: I20101202000406 |
| Provider Name | Mark Anthony Naddaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124142500 PECOS PAC ID: 8022179019 Enrollment ID: I20110126000678 |
| Provider Name | Syed S Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578787339 PECOS PAC ID: 4183801590 Enrollment ID: I20110613000666 |
| Provider Name | Dino Santacroce |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770749830 PECOS PAC ID: 1557533155 Enrollment ID: I20111003000749 |
| Provider Name | Nathaniel W Johns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942265947 PECOS PAC ID: 5799941530 Enrollment ID: I20120724000412 |
| Provider Name | Salil Avasthi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780849877 PECOS PAC ID: 9133385776 Enrollment ID: I20120725000714 |
| Provider Name | Dingding Xiong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285908962 PECOS PAC ID: 4688830144 Enrollment ID: I20120727000278 |
| Provider Name | Rahil Kasmani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720244775 PECOS PAC ID: 6204083223 Enrollment ID: I20120827000828 |
| Provider Name | Mohammed S Alo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447499462 PECOS PAC ID: 4789855990 Enrollment ID: I20121017000023 |
| Provider Name | Amy B Clark |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194074567 PECOS PAC ID: 5395996516 Enrollment ID: I20121117000071 |
| Provider Name | Jennifer A Barlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366781080 PECOS PAC ID: 2860639564 Enrollment ID: I20130517000227 |
| Provider Name | Mohammed Taleb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285899633 PECOS PAC ID: 4688815632 Enrollment ID: I20130802000458 |
| Provider Name | Abhay Ramchandra Shelke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861682916 PECOS PAC ID: 0446412225 Enrollment ID: I20130918000733 |
| Provider Name | Andrew G Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275739765 PECOS PAC ID: 3971752809 Enrollment ID: I20130923000824 |
| Provider Name | Nicole D Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881034916 PECOS PAC ID: 7416190699 Enrollment ID: I20130926000892 |
| Provider Name | Koren A Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548695182 PECOS PAC ID: 7214163336 Enrollment ID: I20131120000965 |
| Provider Name | Alison S Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730512187 PECOS PAC ID: 8123257607 Enrollment ID: I20140203000751 |
| Provider Name | Gregory Ross Johnston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982866109 PECOS PAC ID: 6800038530 Enrollment ID: I20140805002463 |
| Provider Name | Karin Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366753584 PECOS PAC ID: 7719107002 Enrollment ID: I20141009000349 |
| Provider Name | Nishant K Puri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386930121 PECOS PAC ID: 5698996346 Enrollment ID: I20141021002011 |
| Provider Name | Lindsey Spitnale-slattman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407259732 PECOS PAC ID: 0941522965 Enrollment ID: I20141202002029 |
| Provider Name | Laura J Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588043210 PECOS PAC ID: 0749595916 Enrollment ID: I20150817002385 |
| Provider Name | Nathan Thomas Hensley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992068589 PECOS PAC ID: 7618284043 Enrollment ID: I20150917002117 |
| Provider Name | Danah Jacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548634181 PECOS PAC ID: 8729389093 Enrollment ID: I20151211000678 |
| Provider Name | Heather Polaski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053665372 PECOS PAC ID: 8022311596 Enrollment ID: I20160119000111 |
| Provider Name | Roger P Thomas |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760474712 PECOS PAC ID: 2264412113 Enrollment ID: I20160119002629 |
| Provider Name | Jessica M Kajfasz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831466572 PECOS PAC ID: 1557667177 Enrollment ID: I20160308002255 |
| Provider Name | Arthur Delos Reyes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770882250 PECOS PAC ID: 2668765249 Enrollment ID: I20160719002120 |
| Provider Name | Laura Kamcza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487097267 PECOS PAC ID: 5799094504 Enrollment ID: I20160721001774 |
| Provider Name | Jason A Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1710140314 PECOS PAC ID: 7012046873 Enrollment ID: I20160817003042 |
| Provider Name | John R Roost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083988877 PECOS PAC ID: 8224324355 Enrollment ID: I20160915001346 |
| Provider Name | Dale W Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528511359 PECOS PAC ID: 1254628712 Enrollment ID: I20160927001347 |
| Provider Name | Holly J Vaculik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740635077 PECOS PAC ID: 5698056182 Enrollment ID: I20161220002511 |
| Provider Name | Michelle A Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225480189 PECOS PAC ID: 8729369897 Enrollment ID: I20170103001646 |
| Provider Name | Lisa M Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679026660 PECOS PAC ID: 1557643400 Enrollment ID: I20170130000323 |
| Provider Name | Courtney Ann Heitmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619416070 PECOS PAC ID: 5799060976 Enrollment ID: I20170330002592 |
| Provider Name | Kimberly J Woollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427599687 PECOS PAC ID: 0042596546 Enrollment ID: I20170418001471 |
| Provider Name | Frank R Stump |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346565686 PECOS PAC ID: 2466756325 Enrollment ID: I20170510002070 |
| Provider Name | Kara Joann Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790220572 PECOS PAC ID: 0547537813 Enrollment ID: I20170517002500 |
| Provider Name | Sinan Alo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689972168 PECOS PAC ID: 2062639958 Enrollment ID: I20170522000894 |
| Provider Name | Hesham Mostafa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780978866 PECOS PAC ID: 2264736206 Enrollment ID: I20170615002596 |
| Provider Name | Omar Khan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972898856 PECOS PAC ID: 7517261308 Enrollment ID: I20170619001357 |
| Provider Name | Gokulakrishnan Balasubramanian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104079177 PECOS PAC ID: 8628225042 Enrollment ID: I20170713000909 |
| Provider Name | Darla Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457729402 PECOS PAC ID: 0446560429 Enrollment ID: I20170714001913 |
| Provider Name | Krishna Aj Mutgi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720346133 PECOS PAC ID: 3173765302 Enrollment ID: I20170914002852 |
| Provider Name | Zubair Ahammad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801195011 PECOS PAC ID: 1052558129 Enrollment ID: I20170920003343 |
| Provider Name | Shana Rutkowski Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417298084 PECOS PAC ID: 6507183449 Enrollment ID: I20171025002061 |
| Provider Name | Adam R Osterhage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083141337 PECOS PAC ID: 4688930811 Enrollment ID: I20171103002557 |
| Provider Name | Megan E Ashbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124544614 PECOS PAC ID: 5395001317 Enrollment ID: I20171108000718 |
| Provider Name | Kylie Wester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740633221 PECOS PAC ID: 8224316492 Enrollment ID: I20171114001327 |
| Provider Name | Ashley Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972955912 PECOS PAC ID: 7911292123 Enrollment ID: I20171120002185 |
| Provider Name | Jennifer L Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336659069 PECOS PAC ID: 3577820331 Enrollment ID: I20171204000259 |
| Provider Name | Lance R Neeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799562 PECOS PAC ID: 6204193956 Enrollment ID: I20171205001638 |
| Provider Name | Enesi Olefumi Momoh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669681797 PECOS PAC ID: 7315115987 Enrollment ID: I20180119002192 |
| Provider Name | William J Eisenman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740793793 PECOS PAC ID: 2860752060 Enrollment ID: I20180208000926 |
| Provider Name | Stephanie L Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647033 PECOS PAC ID: 9335400860 Enrollment ID: I20180226002130 |
| Provider Name | Precious Branae Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859506 PECOS PAC ID: 4284913997 Enrollment ID: I20180406000758 |
| Provider Name | Daniel Sullivan Murtagh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376801027 PECOS PAC ID: 0547564338 Enrollment ID: I20180605001968 |
| Provider Name | Mary E Grant |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114139581 PECOS PAC ID: 4082687223 Enrollment ID: I20180607001676 |
| Provider Name | Bradley Joseph Buck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831463181 PECOS PAC ID: 4587968375 Enrollment ID: I20180619003556 |
| Provider Name | Sandy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972040004 PECOS PAC ID: 2668757642 Enrollment ID: I20180626002325 |
| Provider Name | Hemindermeet Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821345695 PECOS PAC ID: 7911254511 Enrollment ID: I20180726002907 |
| Provider Name | Kara L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544683 PECOS PAC ID: 2365792124 Enrollment ID: I20180829002216 |
| Provider Name | Vinod Khatri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093049678 PECOS PAC ID: 2860633096 Enrollment ID: I20180904001518 |
| Provider Name | Crystal Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295227437 PECOS PAC ID: 2769732148 Enrollment ID: I20180905003026 |
| Provider Name | Jeffrey Robert Walters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306280854 PECOS PAC ID: 5294086104 Enrollment ID: I20180914002384 |
| Provider Name | David Dae We Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861765083 PECOS PAC ID: 0648521567 Enrollment ID: I20180914002445 |
| Provider Name | Christine D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194201020 PECOS PAC ID: 6103177811 Enrollment ID: I20180919002179 |
| Provider Name | Jasmine Marie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417201450 PECOS PAC ID: 6305088329 Enrollment ID: I20180926003936 |
| Provider Name | Erin Lowe Heuring |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366860694 PECOS PAC ID: 3678879756 Enrollment ID: I20181001003326 |
| Provider Name | Jessica M Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730669631 PECOS PAC ID: 6507118734 Enrollment ID: I20181016002234 |
| Provider Name | Clayton Alan Carmody |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548528573 PECOS PAC ID: 3476822081 Enrollment ID: I20181213000733 |
| Provider Name | Amee N Croy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730746587 PECOS PAC ID: 4385973163 Enrollment ID: I20190903002931 |
| Provider Name | Ehab Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346680907 PECOS PAC ID: 7911209622 Enrollment ID: I20190910000651 |
| Provider Name | Christopher Joel Rodriguez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942573639 PECOS PAC ID: 1759655400 Enrollment ID: I20191227001997 |
| Provider Name | Subhankar Chakraborty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851685812 PECOS PAC ID: 1850515081 Enrollment ID: I20200226001587 |
| Provider Name | Logan Michael Rieman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003446170 PECOS PAC ID: 7517394786 Enrollment ID: I20200227002379 |
| Provider Name | Shaifali Batra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208160 PECOS PAC ID: 6507151909 Enrollment ID: I20200625001860 |
| Provider Name | Samuel Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003177304 PECOS PAC ID: 8325261829 Enrollment ID: I20200630001918 |
| Provider Name | Kaete A Archer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457670424 PECOS PAC ID: 6406135532 Enrollment ID: I20200810001667 |
| Provider Name | Kendra L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932722857 PECOS PAC ID: 7618393422 Enrollment ID: I20200811002273 |
| Provider Name | Kimberly Michelle Bazen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629691597 PECOS PAC ID: 1658797014 Enrollment ID: I20200814002440 |
| Provider Name | Melissa M Kloeppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447858972 PECOS PAC ID: 7214347392 Enrollment ID: I20201030000662 |
| Provider Name | Jenna Christine Goeckner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407376122 PECOS PAC ID: 6406127604 Enrollment ID: I20201116002412 |
| Provider Name | Lindsey B Rauch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295852739 PECOS PAC ID: 2264652866 Enrollment ID: I20201201000475 |
| Provider Name | Chelsea Kahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962004374 PECOS PAC ID: 7113330721 Enrollment ID: I20201228001727 |
| Provider Name | Satyanarayan Hegde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831212505 PECOS PAC ID: 0143490359 Enrollment ID: I20210112000745 |
| Provider Name | Carlos A Medina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972554954 PECOS PAC ID: 1951370535 Enrollment ID: I20210330001243 |
| Provider Name | Anita L Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659946994 PECOS PAC ID: 3375949589 Enrollment ID: I20210913002552 |
| Provider Name | Stacie Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649206889 PECOS PAC ID: 7315932969 Enrollment ID: I20211217002137 |
| Provider Name | Nathan Auch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811643869 PECOS PAC ID: 1557756855 Enrollment ID: I20220324000215 |
| Provider Name | Johnathan Gene Spitnale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285197046 PECOS PAC ID: 4082940531 Enrollment ID: I20220705003084 |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25568 Elliott Rd, Defiance, OH 43512 Phone: 419-782-2147 Fax: 419-782-2157 | |
Defiance Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Defiance Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1018 Ralston Ave, Defiance, OH 43512 Phone: 419-567-2138 Fax: 419-225-8878 | |
Robert E Barnett Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Ralston Ave, Defiance, OH 43512 Phone: 419-782-3111 Fax: 419-782-3118 | |
Defiance Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 Ralston Ave, Defiance, OH 43512 Phone: 419-567-2138 Fax: 419-225-8878 | |
Integrated Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Latchaw Dr, Defiance, OH 43512 Phone: 419-785-4215 Fax: 419-785-4274 |