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).
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 |
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 Name | Type Code |
---|---|
James Reichert DO, General & Bariatric Surgery | Doing Business As Name - Organization |
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 |
Street Address |
801 PRO DR |
City | CELINA |
State | OH |
Zip Code | 45822-3307 |
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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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 |
Find all providers in zip 45822 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
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. |
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 |
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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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.