Mercy Medical Partners Northern Reigon LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MERCY MEDICAL PARTNERS NORTHERN REIGON LLC

Doing business as

Mercy Medical Partners

Practice address

1400 E 2ND St
Defiance, OH 43512-2440

Phone

(419) 784-1414

NPI assigned

Aug 30, 2007

Last updated

Apr 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele Montague

Title

Vice President/Administrator

Phone

(419) 251-0709

Specialties & licenses 1

Addresses

Other names 1

• Mercy Medical Partners Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mercy Medical Partners Northern Region LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Medical Partners Northern Region LLC

  dba Mercy Defiance Clinic Pharmacy

  • Community/Retail Pharmacy
  • Defiance, OH
  • NPI 1942213269
  NPD tax ID

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1194919324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 4",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102",
            "telephone_number": "419-251-8983",
            "fax_number": "419-251-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-784-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL PARTNERS NORTHERN REIGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "419-251-0709"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Medical Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Health - Defiance Hospital LLC (Mercy Health - Defiance Hospital)
• Mercy Medical Partners Northern Region LLC (Mercy Health Physicians - Defiance Clinic)
• Mercy Medical Partners Northern Region LLC (Mercy Defiance Clinic Pharmacy)
• Mercy Medical Partners Northern Region Specialty Care LLC
• Mercy Medical Partners Northern Region Specialty Care LLC
• Amy T Meyer, PT
• Carli Meyer, M.A., CCC-SLP
• Katelyn Meyer, ED.S.
• Sheila R. Meyer, MS,CCC-A
• Sonja Michaelis, LMT

• Clinical Medical Laboratory in Defiance, OH
• Providers in Defiance, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.