Jonathan F. Diller, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-045285 Issued in OH

Legal business name

JONATHAN F. DILLER, M.D., INC.

Practice address

2575 Hayes Ave
Suite 4
Fremont, OH 43420-5201

Phone

(419) 332-9978

Fax

(419) 332-7989

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Ford Diller, M.D.

Title

President

Phone

(419) 332-9978

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Nancy J Martin, C.N.P.

  • Nurse Practitioner
  • Bowling Green, OH
  • NPI 1770543019
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1184640658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 HAYES AVE",
            "address_2": "SUITE 4",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434205201",
            "telephone_number": "419-332-9978",
            "fax_number": "419-332-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HAYES AVE",
            "address_2": "SUITE 4",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434205201",
            "telephone_number": "419-332-9978",
            "fax_number": "419-332-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN F. DILLER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "DILLER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-332-9978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-045285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2811407",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAL LICENSE",
            "identifier": "35-045285",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Ruth Jessen, MS, ATC, LAT, PES
• Mandi Elizabeth Jester, MSW, LSW
• Jaclyn Noel Marie Jezak, CNP
• John J. Clarke, D.P.M. (John J. Clarke, D.P.M.,LLC)
• Stephanie Johnson, LPC
• Christina Jones, LPN
• Jeffrey Paul Jones Jr., R.PH.
• Christopher Juan Jordan, LPCC-S
• Rachel Jordan
• Abraham K Joseph, M.D.

• Family Medicine Physician in Fremont, OH
• Providers in Fremont, 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 May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.