| Wellcare Physicians Group Llc | |
|
5901 Monclova Rd Maumee OH 43537-1841 | |
| (419) 891-8024 | |
| Not Available |
| Full Name | Wellcare Physicians Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5901 Monclova Rd, Maumee, Ohio |
| Authorized Official Name and Position | Kerry Burmeister (ADMINISTRATIVE DIRECTOR, FINANCE) |
| Authorized Official Contact | 4198918024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcare Physicians Group Llc 4235 Secor Rd Toledo OH 43623-4231 Ph: (419) 214-4214 | Wellcare Physicians Group Llc 5901 Monclova Rd Maumee OH 43537-1841 Ph: (419) 891-8024 |
| NPI Number | 1558567636 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1456442771 |
|---|---|
| Medicare Enrollment ID | O20070801000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558567636 | NPI | - | NPPES |
| 2842704 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 89211 (Ohio) | Primary |
| 207R00000X | Internal Medicine | (Ohio) | Secondary |
| 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 | Shalini S Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793663 PECOS PAC ID: 0244123446 Enrollment ID: I20040203000368 |
| Provider Name | Lawrence M Spetka |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912905175 PECOS PAC ID: 7113811720 Enrollment ID: I20040212000609 |
| Provider Name | Brian F Hoeflinger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649277534 PECOS PAC ID: 6103712484 Enrollment ID: I20040226000021 |
| Provider Name | Salvador E Peron |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881691640 PECOS PAC ID: 8527051804 Enrollment ID: I20040405000085 |
| Provider Name | Robert E Kose |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093796294 PECOS PAC ID: 7618958794 Enrollment ID: I20040721000399 |
| Provider Name | Rebecca Lynn Siders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831193549 PECOS PAC ID: 2668445610 Enrollment ID: I20040817001160 |
| Provider Name | Lalaine E Mattison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366440224 PECOS PAC ID: 0648251736 Enrollment ID: I20040910000103 |
| Provider Name | David W Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831103027 PECOS PAC ID: 5799742839 Enrollment ID: I20041210000252 |
| Provider Name | Asish Mukherjee |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386607513 PECOS PAC ID: 5395790935 Enrollment ID: I20050317000005 |
| Provider Name | Dale Levy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487639043 PECOS PAC ID: 6709823644 Enrollment ID: I20050413000004 |
| Provider Name | Lorrie Ann Elchert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992775142 PECOS PAC ID: 7012955859 Enrollment ID: I20050421000646 |
| Provider Name | Gary Franklin Swann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861485054 PECOS PAC ID: 9739129487 Enrollment ID: I20050512000007 |
| Provider Name | John T Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316921109 PECOS PAC ID: 0446292908 Enrollment ID: I20050525000003 |
| Provider Name | Virginia S Hiltner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598765190 PECOS PAC ID: 5890724009 Enrollment ID: I20050808001302 |
| Provider Name | Shannon R Sutherland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740266501 PECOS PAC ID: 3577591825 Enrollment ID: I20050912000497 |
| Provider Name | Travis Edward Rasor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215918446 PECOS PAC ID: 7911930573 Enrollment ID: I20050914000537 |
| Provider Name | Mark R Bruss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720082423 PECOS PAC ID: 5698748630 Enrollment ID: I20051024000014 |
| Provider Name | Stephen P Bazeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336143049 PECOS PAC ID: 1456324409 Enrollment ID: I20051024000017 |
| Provider Name | Kevin Alan Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952361297 PECOS PAC ID: 7719905942 Enrollment ID: I20060504000188 |
| Provider Name | Dean Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780704445 PECOS PAC ID: 1951409341 Enrollment ID: I20070608000160 |
| Provider Name | Andrea K Bruss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205977352 PECOS PAC ID: 1557453958 Enrollment ID: I20070815000237 |
| Provider Name | Nancy A Arquette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457491219 PECOS PAC ID: 0648365346 Enrollment ID: I20070926000643 |
| Provider Name | Annette K Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336123108 PECOS PAC ID: 8527142017 Enrollment ID: I20080221000557 |
| Provider Name | Marsha S Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366441511 PECOS PAC ID: 6305921339 Enrollment ID: I20080314000116 |
| Provider Name | Diana L Messer-kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194905794 PECOS PAC ID: 8729164470 Enrollment ID: I20080321000152 |
| Provider Name | Elizabeth M Read |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114921442 PECOS PAC ID: 1052480563 Enrollment ID: I20080523000115 |
| Provider Name | Benjamin J Salpietro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285722280 PECOS PAC ID: 2163327685 Enrollment ID: I20080726000088 |
| Provider Name | John C Zona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497751192 PECOS PAC ID: 8527125202 Enrollment ID: I20090325000001 |
| Provider Name | Bonnie S Fintel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902831100 PECOS PAC ID: 7911058680 Enrollment ID: I20090621000004 |
| Provider Name | Ann M Steck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033320049 PECOS PAC ID: 0244381101 Enrollment ID: I20090706000611 |
| Provider Name | Mohammad El Sayyad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629243878 PECOS PAC ID: 1557416443 Enrollment ID: I20090828000007 |
| Provider Name | Emily R Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851626600 PECOS PAC ID: 0648319822 Enrollment ID: I20091201000284 |
| Provider Name | Angela Boudouris Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659608719 PECOS PAC ID: 7618017914 Enrollment ID: I20091217000379 |
| Provider Name | Jason Lynn Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205838802 PECOS PAC ID: 2668513599 Enrollment ID: I20100114000024 |
| Provider Name | David Oram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316970544 PECOS PAC ID: 9234112764 Enrollment ID: I20100626000543 |
| Provider Name | Kathryn Todd Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659576783 PECOS PAC ID: 3577751403 Enrollment ID: I20101220000636 |
| Provider Name | Jeffrey R Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740286590 PECOS PAC ID: 3971781592 Enrollment ID: I20110630000531 |
| Provider Name | Stephanie L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669632576 PECOS PAC ID: 5496924391 Enrollment ID: I20110810000513 |
| Provider Name | Jocelyn J Bratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992085708 PECOS PAC ID: 6002087897 Enrollment ID: I20110928000284 |
| Provider Name | Mark D Krautheim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740478312 PECOS PAC ID: 2567635378 Enrollment ID: I20111022000063 |
| Provider Name | Richard A Paat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316947021 PECOS PAC ID: 3375534787 Enrollment ID: I20120228000628 |
| Provider Name | Nathaniel W Johns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942265947 PECOS PAC ID: 5799941530 Enrollment ID: I20120724000412 |
| Provider Name | Lindsey J Bostelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386888204 PECOS PAC ID: 8325294374 Enrollment ID: I20120808000183 |
| 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 | Nathan Shane Balusik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407174576 PECOS PAC ID: 6002055423 Enrollment ID: I20130829000913 |
| Provider Name | Amanda R Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870877 PECOS PAC ID: 3870729163 Enrollment ID: I20131114001296 |
| Provider Name | James Lyions |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255569414 PECOS PAC ID: 1456575737 Enrollment ID: I20140605001985 |
| Provider Name | Anna L Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114219516 PECOS PAC ID: 8921246349 Enrollment ID: I20140723001971 |
| Provider Name | Owais Khawaja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639292584 PECOS PAC ID: 3971676263 Enrollment ID: I20150616001307 |
| Provider Name | Ashley M Donaldson-woolum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851788244 PECOS PAC ID: 7012223209 Enrollment ID: I20150902002520 |
| Provider Name | Douglas Olson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811289846 PECOS PAC ID: 0042514705 Enrollment ID: I20160913002398 |
| Provider Name | Nitisha Mutgi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750640165 PECOS PAC ID: 6608019484 Enrollment ID: I20161006000468 |
| Provider Name | Frank R Stump |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346565686 PECOS PAC ID: 2466756325 Enrollment ID: I20170510002070 |
| Provider Name | Megan L Cranor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598170219 PECOS PAC ID: 6901022383 Enrollment ID: I20170727002482 |
| Provider Name | Michelle Fuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114452042 PECOS PAC ID: 4880967397 Enrollment ID: I20170905003535 |
| Provider Name | Jennifer Galliers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538695291 PECOS PAC ID: 0244504595 Enrollment ID: I20170925003352 |
| Provider Name | Marypat Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477061133 PECOS PAC ID: 6800157728 Enrollment ID: I20180309000562 |
| Provider Name | Amy Lynn Ramlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306333828 PECOS PAC ID: 9830445113 Enrollment ID: I20180628001009 |
| Provider Name | Helen Mary O'connell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427461342 PECOS PAC ID: 7416251541 Enrollment ID: I20181107001895 |
| Provider Name | Zachary A Stephan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750745782 PECOS PAC ID: 3375836398 Enrollment ID: I20190729002963 |
| Provider Name | Marshall T Ochi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811351836 PECOS PAC ID: 4688964810 Enrollment ID: I20190822002275 |
| Provider Name | Amy Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124670658 PECOS PAC ID: 2264864404 Enrollment ID: I20191108002844 |
| Provider Name | Zacharey David Dooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255821856 PECOS PAC ID: 5698023885 Enrollment ID: I20200402003699 |
| Provider Name | Justin Lea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760800759 PECOS PAC ID: 9032413539 Enrollment ID: I20200619002473 |
| Provider Name | Elizabeth A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467846394 PECOS PAC ID: 4587956982 Enrollment ID: I20200910003507 |
| Provider Name | Fouad Azoury |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1265735047 PECOS PAC ID: 8022299437 Enrollment ID: I20201014003205 |
| Provider Name | Sanjay Batra |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114981917 PECOS PAC ID: 8426034406 Enrollment ID: I20201016002146 |
| Provider Name | Omar Habib |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1689873010 PECOS PAC ID: 0648350538 Enrollment ID: I20201028000990 |
| Provider Name | James Martin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972592541 PECOS PAC ID: 5496794018 Enrollment ID: I20201104001548 |
| Provider Name | Daniel Joseph Fenderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104390350 PECOS PAC ID: 7012246598 Enrollment ID: I20210217001934 |
| Provider Name | Tonya Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578292587 PECOS PAC ID: 9931584299 Enrollment ID: I20220922001761 |
Vital Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Clinton St, Maumee, OH 43537 Phone: 419-740-3022 Fax: 419-740-3033 | |
Vpa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Woodlands Dr, Suite 200 Office # 35, Maumee, OH 43537 Phone: 419-578-8594 Fax: 855-618-2622 | |
Peyton Care Professionals, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 E Indiana Ave, Maumee, OH 43537 Phone: 419-893-9230 Fax: 419-893-6912 | |
Geriatric And Long Term Care Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Clinton St, Maumee, OH 43537 Phone: 419-893-0485 Fax: 419-893-1255 | |
Fallen Timbers Internal Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 Wheatstone Ct, Maumee, OH 43537 Phone: 419-866-6200 Fax: 419-866-7170 | |
Hospitalist Medicine Physicians Of Lucas County, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 330-493-4443 Fax: 330-493-8677 | |
Health And Pain Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1574 Henthorne Dr Ste C, Maumee, OH 43537 Phone: 419-517-1737 Fax: 419-517-0108 |