JOHN P IMM (NPI# 1215939848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215939848 |
| Entity Type | Individual |
| Full Name | JOHN P IMM |
| Credential | MD |
| Practice Address |
5700 Monroe St Unit 111 Sylvania OH 43560-2779 |
| Mailing Address |
410 Birchard Ave Fremont OH 43420-2967 |
| Practice Telephone | 5675850005 |
| Practice Fax Number | 5675850007 |
| Mailing Telephone | 4193348943 |
| Mailing Fax Number | 4193348619 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35064477 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AZNTHEM | 000000277395 | 01 |
| OH | 0992010 | 05 | |
| OH | RRMC | 080191952 | 01 |
| OH | AETNA | 4553666 | 01 |
| OH | PARAMOUNT | 04213 | 01 |
| OH | UHC | 15-70029 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3430 Secor Rd Ste 415, Toledo, OH 436061547 | 5675850225 | 4192143564 |
| 6755 W Central Ave, Toledo, OH 436171109 | 5675850075 | 4195177105 |
| 6711 Airport Hwy, Holland, OH 435288104 | 5675850070 | 5677038685 |
| 217 Golden Gate Plz, Maumee, OH 435372881 | 5675850210 | 4197944604 |
| 3316 Navarre Ave # F, Oregon, OH 436163314 | 4192911420 | 4192143841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972815124 | John G. Imm IIi | Dentist | 3380 Tremont Rd, Suite 190, Columbus, OH 43221-2112 | 2010-07-04 |
| 1154525616 | John Toby Imm | Orthotic Fitter | 113 Palafox Pl, Pensacola, FL 32502-5629 | 2007-06-11 |
| Street Address |
5700 MONROE ST UNIT 111 |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497128409 | Mindy S Houpt | Nurse Practitioner | 5700 Monroe St Unit 111, Sylvania, OH 43560-2779 | 2015-11-12 |
| 1942214085 | Holly L Smith | Physician Assistant | 5700 Monroe St Unit 111, Sylvania, OH 43560-2779 | 2006-07-27 |
| 1407891294 | Lauren G Pakosz | Physician Assistant | 5700 Monroe St Unit 111, Sylvania, OH 43560-2779 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1518200500 | Holly Dickman | Family Medicine | 7640 Sylvania Ave Ste K, Sylvania, OH 43560-9263 | 2013-03-28 |
| 1578842712 | Screven County Hospital LLC | Family Medicine | 213 Mims Rd, Sylvania, GA 30467-1994 | 2011-08-05 |
| 1407010689 | Screven County Family Medicine | Family Medicine | 215 Mims Road, Sylvania, GA 30467 | 2008-07-16 |
| 1518127687 | Sherma Peter | Family Medicine | 213 Mims Road, Sylvania, GA 30467 | 2008-06-12 |
| 1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
| 1043298250 | Phillip H Fisher | Family Medicine | 7640 W. Sylvania, Suite K, Sylvania, OH 43560 | 2006-01-06 |
| 1649263534 | Willis M Morse | Family Medicine | 5700 Monroe St Unit 201, Sylvania, OH 43560-2735 | 2005-08-25 |
| 1437151297 | Donald Vogel | Family Medicine | 5700 Monroe St Unit 206, Sylvania, OH 43560-2735 | 2005-08-11 |
| 1316947591 | Christine D Ellis | Family Medicine | 4525 Holt Rd, Sylvania, OH 43560-9795 | 2005-07-28 |
| Find all providers in SYLVANIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.