Jeffrey Eugene Sizemore III, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004191 Issued in OH

Practice address

740 Woodbine St
Willard, OH 44890-1635

Phone

(419) 935-6761

Fax

(419) 933-1676

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Mercy Health - Willard Hospital LLC

  • Cardiovascular Disease Physician
  • Willard, OH
  • NPI 1265605240
  NPD (past)
• Midwest Emergency Services Ohio, Inc

  • Emergency Medicine Physician
  • Willard, OH
  • NPI 1326372038
  NPD (past)
• Willard Area Medical Assoc.

  • Family Medicine Physician
  • Willard, OH
  • NPI 1396923991
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1144288259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WOODBINE ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901635",
            "telephone_number": "419-935-6761",
            "fax_number": "419-933-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WOODBINE ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901635",
            "telephone_number": "419-935-6761",
            "fax_number": "419-933-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lynn Schaffer, RPH
• Denise Ann Schaub, LPN
• Michael Todd Schell, M.D.
• Richard Schumann, LPN
• Connor John Shivers
• Miranda Slone, EDD
• David L Stanbery, MD
• Alisha Marie Stephens
• Stacia Stieber, M.S. CF-SLP
• Malinda Thomas Vickery, CDCA

• Family Medicine Physician in Willard, OH
• Providers in Willard, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.