Organization Active NPI

Jmac Medical

  • Foot & Ankle Surgery Podiatrist
  • Maumee, OH
National Provider Identifier
1003652801
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JMAC MEDICAL
Practice address
1715 Indian Wood Circle
Suite 282
Maumee, OH 43537
Phone
(219) 241-3321
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeremy Paul Marchand, DPMNPI 1548746761
Title
Ceo
Phone
(219) 241-3321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1715 Indian Wood Circle
Suite 282
Maumee, OH 43537

Mailing address

15704 Reimund CT
Findlay, OH 45840-8902
Phone (219) 241-3321

Other practice location 1

2230 W. Laskey Rd.
Toledo, OH 43613-3543
Phone (219) 241-3321

Other identifiers 2

IdentifierTypeStateIssuer
36.004044OtherOHOHIO ELICENSE PROFESSIONAL LICENSURE
0462302MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250108001325 OH Part B Supplier - Clinic/Group Practice 9638607484 Receives reassigned benefits from 2 practitioners
Practice locations: Maumee, OH

National Provider Directory

National Provider Directory

Locations

1715 Indian Wood Cir
Ste 282
Maumee, OH 43537
Phone (219) 241-3321

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1003652801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15704 REIMUND CT",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408902",
            "telephone_number": "219-241-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 INDIAN WOOD CIRCLE",
            "address_2": "SUITE 282",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "219-241-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 W. Laskey Rd.",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436133543",
            "country_code": "US",
            "telephone_number": "219-241-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JMAC MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "MARCHAND",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-241-3321",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO ELICENSE PROFESSIONAL LICENSURE",
            "identifier": "36.004044",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.