Organization
JTDM FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA A POHL (VICE PRESIDENT OF FINANCE)
(419) 394-3335
Entity
Organization
Contact information
Practice address
200 SAINT CLAIR AVE, ST MARYS, OH 45885-2400
(419) 394-3335
(419) 394-8485
Mailing address
200 SAINT CLAIR AVE, ST MARYS, OH 45885-2400
(419) 394-3335
(419) 394-8485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
06/28/2006
Last updated
02/06/2024
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