Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PUTNAM COUNTY PRIMARY CARE LLC
Active
Organization
PUTNAM COUNTY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S EIDEN MD (OWNER)
(419) 523-0012
Entity
Organization
Contact information
Practice address
1740 N PERRY ST, SUITE A, OTTAWA, OH 45875-1173
(419) 523-0012
(419) 523-3416
Mailing address
PO BOX 450718, WESTLAKE, OH 44145-0614
(800) 514-4390
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2502401
—
OH
01
—
5597270001
DME
OH
01
—
DC4690
RAILROAD CARE
OH
Enumeration date
09/16/2006
Last updated
07/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers