Organization
JTDM FAMILY PRACTICE LLC
Active
Other names
Grand Lake Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA A POHL (CFO)
(419) 394-3335
Entity
Organization
Contact information
Practice address
1013 E SPRING ST, SAINT MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 394-3335
(419) 394-8485
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
02/06/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up