Sara Lee Hess (NPI# 1467981118, PAC ID# 3870866106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1467981118 |
PAC ID by PECOS | 3870866106 |
Professional Enrollment ID | I20170907001523 |
Full Name | Sara Lee Hess |
Organization Legal Name | JTDM FAMILY PRACTICE LLC |
Address |
4463 State Route 66 Minster OH 45865-8727 |
Phone Number | 4196283821 |
Gender | F |
Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2163415837 |
Number of Group Practice Members | 36 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360032 | GRAND LAKE HEALTH SYSTEM |
360058 | MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
4463 State Route 66, Minster, OH 45865-8727 | 4196283821 | JTDM FAMILY PRACTICE LLC |
Organization Legal Name | JTDM FAMILY PRACTICE LLC |
Physicians | 35 |
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 |
Street Address |
4463 STATE ROUTE 66 |
City | MINSTER |
State | OH |
Zip | 45865-8727 |
Name | Specialty | Organization | Address |
---|---|---|---|
James D Luedeke | Family Medicine | Jtdm Family Practice LLC | 4463 State Route 66, Minster, OH 45865-8727 |
Sarah A Werner | Family Medicine | Jtdm Family Practice LLC | 4463 State Route 66, Minster, OH 45865-8727 |
Olubukola Abigail Adelola | Family Medicine | Jtdm Family Practice LLC | 4463 State Route 66, Minster, OH 45865-8727 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrea K Dietz | Optometry | John T Archer and Associates Inc | 208 N Main St, Minster, OH 45865-1121 |
Mitchell E Nutt | Obstetrics/gynecology | Jtdm Family Practice LLC | 04463 State Route 66n, Suite A, Minster, OH 45865-8727 |
Douglas J Spieles | Chiropractic | Spieles Chiropractic Clinic Inc. | 496 N Main St, Minster, OH 45865-9537 |
Kurt John Olding | Chiropractic | Minster Chiropractic Center LLC | 12 Eagle Dr, Suite A, Minster, OH 45865-9545 |
Sunni L Lomnicki | Chiropractic | Minster Chiropractic Center LLC | 12 Eagle Dr, Suite A, Minster, OH 45865-9545 |
Tyler Joseph Lomnicki | Chiropractic | Minster Chiropractic Center LLC | 12 Eagle Dr, Suite A, Minster, OH 45865-9545 |
Maria Jane Zenz | Physical Therapy | 12 Eagle Dr, Suite A, Minster, OH 45865-9545 |
City | MINSTER |
Zip Code | 45865 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MINSTER + NURSE PRACTITIONER |
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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.