Kenneth L Bryant
JTDM FAMILY PRACTICE LLC


Address: 200 Saint Clair Ave, Suite 102, Saint Marys, OH 45885-2400
Phone: 4193949512

Kenneth L Bryant (NPI# 1821007949, PAC ID# 1254433907) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1821007949
PAC ID by PECOS 1254433907
Professional Enrollment ID I20110301000414
Full Name Kenneth L Bryant
Organization Legal Name JTDM FAMILY PRACTICE LLC
Address 200 Saint Clair Ave
Suite 102
Saint Marys
OH 45885-2400
Phone Number 4193949512
Gender M
Medical School WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 1993
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 2163415837
Number of Group Practice Members 36
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360032 GRAND LAKE HEALTH SYSTEM
360058 MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
200 Saint Clair Ave, Suite 102, Saint Marys, OH 45885-2400 4193949512 JTDM FAMILY PRACTICE LLC

Organization Information

Organization Legal Name JTDM FAMILY PRACTICE LLC
Physicians 35

Physicians with the same organization

Name Specialty Organization Address
Christopher John Stucke Podiatry Jtdm Family Practice LLC 1013 E Spring St, Saint Marys, OH 45885-2447
Kevin M Dirksen Nurse Practitioner Jtdm Family Practice LLC 801 Pro Dr, D2, Celina, OH 45822-3307
James D Luedeke Family Medicine Jtdm Family Practice LLC 4463 State Route 66, Minster, OH 45865-8727
Venkata Krishnarao Chalasani Internal Medicine Jtdm Family Practice LLC 1010 Hager St, Saint Marys, OH 45885-2421
James A Reichert General Surgery Jtdm Family Practice LLC 830 W Main St, Suite 101, Coldwater, OH 45828-1657
Mitchell E Nutt Obstetrics/gynecology Jtdm Family Practice LLC 04463 State Route 66n, Suite A, Minster, OH 45865-8727
Dawn P Mcnaughton Family Medicine Jtdm Family Practice LLC 1040 Hager St, Saint Marys, OH 45885-2421
James E Kemmler Physical Medicine and Rehabilitation Jtdm Family Practice LLC 123 Hamilton St, Celina, OH 45822-1909
Jacqueline S Shriver Nurse Practitioner Jtdm Family Practice LLC 1067 Hager St, Saint Marys, OH 45885-2422
Brooke A Lange Physician Assistant Jtdm Family Practice LLC 801 Pro Dr, Celina, OH 45822-3307

Office Location

Street Address 200 SAINT CLAIR AVE
SUITE 102
City SAINT MARYS
State OH
Zip 45885-2400

Physicians in the same location

Name Specialty Organization Address
Adam Joseph Reidenbach Certified Registered Nurse Anesthetist (crna) Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Paul Martin Ferreira Leonard Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Amanda M Paden Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Joseph Anthony Perkins Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Steven Wing Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Natasha J Alexander Neurology Jtdm Family Practice LLC 200 Saint Clair Ave, Suite 101, Saint Marys, OH 45885-2400
Seetaramaiah Annam Anesthesiology Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Angelo Collins Family Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Timothy James David Zwayer Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Seth Ochieng Agiro Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Robert Spees Chiropractic 1633 Celina Rd, Saint Marys, OH 45885-1215
Jeffrey S Chivington Chiropractic 575 Royal Oak Dr, Saint Marys, OH 45885-1465
Margrete Anne Irish-pearson Nurse Practitioner Coleman Professional Services, Inc. 720 Armstrong St, Saint Marys, OH 45885-1800
Jonathan R Tagle Chiropractic 153 E Spring St, St Marys, OH 45885-2311
Michael R Compton Chiropractic 134 W Spring St, Saint Marys, OH 45885-2312
John M Price Optometry 140 W Spring St, Saint Marys, OH 45885-2312
Jessica Wilson Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Kenneth Lee Fox Emergency Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
William Harr Iii Certified Registered Nurse Anesthetist (crna) Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Karen Green Family Medicine Joint Township District Memorial Hospital 200 Saint Clair Ave, Saint Marys, OH 45885-2400
Find all physicians in zip 45885

Competitor

Search similar physicians

City SAINT MARYS
Zip Code 45885
Specialty GENERAL SURGERY
City + Specialty SAINT MARYS + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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