JTDM FAMILY PRACTICE LLC


Address: 801 Pro Dr, Celina, OH 45822-3307
Phone: 4195866489

JTDM FAMILY PRACTICE LLC (NPI# 1689005761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689005761
Entity Type Organization
Organization Name JTDM FAMILY PRACTICE LLC
Other Organization Name JAMES REICHERT DO, GENERAL & BARIATRIC SURGERY
Practice Address 801 Pro Dr
Celina
OH 45822-3307
Practice Telephone 4195866489
Practice Fax Number 4195868509
Mailing Telephone 4195866489
Mailing Fax Number 4195868509
Enumeration Date 2013-11-27
Last Update Date 2014-01-03
Authorized Official Name MR. JEFFREY W VOSSLER (VICE PRESIDENT OF FINANCIAL SERVICE)
Authorized Official Telephone 4193943335
Is Organization Subpart Y
Parent Organization Name JTDM FAMILY PRACTICE LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
James Reichert DO, General & Bariatric Surgery Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164602678 Jtdm Family Practice LLC Family Medicine 4 Eagle Dr, Minster, OH 45865-9714 2007-11-13
1639114192 Jtdm Family Practice LLC Otolaryngology 1165 S Knoxville Ave, Suite F, St Marys, OH 45885-2622 2006-06-18
1750937090 Jtdm Family Practice LLC Durable Medical Equipment & Medical Supplies 1013 E Spring St, Saint Marys, OH 45885-2447 2019-08-13
1932670023 Jtdm Family Practice LLC Durable Medical Equipment & Medical Supplies 123 Hamilton St, Celina, OH 45822-1909 2018-12-16
1356772255 Jtdm Family Practice LLC Family Medicine 812 Redskin Trl, Wapakoneta, OH 45895-8545 2013-12-03
1942630348 Jtdm Family Practice LLC Pediatrics 801 Pro Dr, Celina, OH 45822-3307 2013-11-21
1104024546 Jtdm Family Practice LLC Family Medicine 4463 State Route 66, Minster, OH 45865-8727 2007-07-06
1447288717 Jtdm Family Practice LLC Obstetrics & Gynecology 1067 Hager St, St Marys, OH 45885-2422 2006-06-28
1184652539 Jtdm Family Practice LLC Nurse Practitioner 200 Saint Clair Ave, St Marys, OH 45885-2400 2006-06-28
1144257759 Jtdm Family Practice LLC Psychiatry & Neurology 1165 S Knoxville Ave, Suite F, St Marys, OH 45885-2622 2006-06-27

Office Location

Street Address 801 PRO DR
City CELINA
State OH
Zip Code 45822-3307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891793618 Philip R. Masser Family Medicine 801 Pro Dr, Suite A, Celina, OH 45822-3307 2005-07-14
1578057485 Benjamin Michael Werling Registered Nurse 801 Pro Dr, Celina, OH 45822-3307 2018-06-15
1225536881 Sarah Marie Mcdowell Nurse Practitioner 801 Pro Dr, Celina, OH 45822-3307 2018-01-30
1134573702 Bio-medical Applications of Ohio, Inc. Clinic/Center 801 Pro Dr, Ste B, Celina, OH 45822-3307 2016-04-20
1942630348 Jtdm Family Practice LLC Pediatrics 801 Pro Dr, Celina, OH 45822-3307 2013-11-21
1972890192 Joint Township District Memorial Hospital Surgery 801 Pro Dr, Celina, OH 45822-1397 2011-07-08
1922393842 Leanne M Kline Family Medicine 801 Pro Dr, Grand Lake Family Practice & Pediatrics, Celina, OH 45822-3307 2011-06-20
1427207604 Kidney Services of West Central Ohio Ltd Clinic/Center 801 Pro Dr, Celina, OH 45822-3307 2008-09-12
1659543403 James Anthony Reichert Surgery 801 Pro Dr, Ste D2, Celina, OH 45822-3307 2008-04-01
1215984661 Peter R White General Practice 801 Pro Dr, Ste D1, Celina, OH 45822-3307 2006-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467974014 Emily Marie Metz Speech-Language Pathologist 715 E Wayne St, Celina, OH 45822 2017-07-14
1184161069 Lyndie Brown Speech-Language Pathologist 903 East Wayne Street, Celina, OH 45822 2017-01-30
1225582752 Momentum Counseling and Consultation, LLC Social Worker 427 E Market St, Celina, OH 45822 2016-08-13
1821497546 Mindy Muhlenkamp Occupational Therapist 441 East Market Street, Celina, OH 45822 2014-08-19
1609136951 Aaron D. Kuhn Marriage & Family Therapist 316 W. Market St, Celina, OH 45822 2012-05-21
1740436252 Luis L. Perez Family Medicine 801 Pro Dr Ste D1, Celina, OH 45822 2008-08-15
1356538664 Assisted Living Concepts Inc Assisted Living Facility 1506 Meadowview Drive, Celena, OH 45822 2007-10-01
1336369800 Mercer County Board of Mrdd Case Management 4980 Mud Pike, Celina, OH 45822 2007-04-26
1720101371 Mercer Residential Services Inc. Supports Brokerage 420 Sugar St, Celina, OH 45822 2007-04-09
1831236264 Kristina M Goffena Massage Therapist 6673 Coldwater Beach Rd, Celina, OH 45822 2007-02-01
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831505379 Charles David Duda Surgery 950 S Main St, Celina, OH 45822-2413 2014-07-04
1972890192 Joint Township District Memorial Hospital Surgery 801 Pro Dr, Celina, OH 45822-1397 2011-07-08
1659543403 James Anthony Reichert Surgery 801 Pro Dr, Ste D2, Celina, OH 45822-3307 2008-04-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427673839 Omar Sallout Surgery 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 2020-06-11
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1851912935 Comprehensive Wound Care Consultants LLC Surgery 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 2020-04-30
1629603725 Anil Vaidya Surgery 100 East Euclid Avenue, Cleveland, OH 44195-0001 2020-03-09
1205473766 Serita Barnard Surgery Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 2019-12-04
1184271520 Moska Hamidi Surgery 9500 Euclid Ave F20, Cleveland, OH 44195 2019-08-21
1760040265 Ohio Bariatrics and Laparoscopy LLC Surgery 7931 Country Brook Ct, Springboro, OH 45066-8469 2019-05-31
1275093122 Michael Curran Surgery 3140 Legacy Trce, Cincinnati, OH 45237-1724 2019-03-25
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1215401518 Tina Lorenz Surgery 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 2019-01-20
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Competitor

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City CELINA
Zip Code 45822

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Dataset Information

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.

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