1982619755 NPI number — NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC

Table of content: (NPI 1982619755)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982619755 NPI number — NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982619755
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
930 DIXIE HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROSSFORD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43460-1333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-666-6682
Provider Business Mailing Address Fax Number:
419-666-4340

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
930 DIXIE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSSFORD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43460-1333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-666-6682
Provider Business Practice Location Address Fax Number:
419-666-4340
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HASAN
Authorized Official First Name:
IRSHAD
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
419-666-6682

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0276188 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 07071 . This is a "DR. SCHMIDT PARAMOUNT" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00270274 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 218311387020 . This is a "DR. HASAN MMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1891771184 . This is a "DR. HASAN NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01974 . This is a "DR. HASAN PARAMOUNT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0978429 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 272387207018 . This is a "DR. SCHMIDT MMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00266505 . This is a "DR. SCHMIDT RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000381183 . This is a "DR. SCHMIDT BC/BS OH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 605755 . This is a "DR. SCHMIDT BUCKEYE CHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 606733 . This is a "DR. HASAN BUCKEYE CHP" identifier . This identifiers is of the category "OTHER".




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