# PREMISE HEALTH OF OHIO MEDICAL, P.A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Campbell's Soup Napoleon Occupational Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396176038
- **Authorized official:** JON LEIZMAN M.D. (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 12-773 STATE ROUT 110, NAPOLEON, OH 43545-5898
- **Practice address phone:** (419) 599-6787
- **Practice address fax:** (419) 599-6822
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
- **Mailing address phone:** (419) 599-6787
- **Mailing address fax:** (419) 599-6822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2013
- **Last updated:** 08/16/2022