Jeffrey William Maendel

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34.014029 Issued in OH

Practice address

100 W McCreight Ave Ste 110
Springfield, OH 45504-1890

Phone

(937) 717-4884

Fax

(937) 717-6207

NPI assigned

May 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

General Surgery

Education

West Virginia School of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Mercy Home Care, LLC Home health agency, Springfield, OH, CCN 367447
• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
• Mercy Health - Urbana Hospital Hospital, Urbana, OH, CCN 361312

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmaendel1056090@direct.bsmhealth.org

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.

• Mercy Health Physicians Springfield Specialty Care LLC

  • Surgery Physician
  • Springfield, OH
  • NPI 1790308104
  Medicare reassignment Care Compare group NPD
• Community Mercy Health Partners

  dba Mercy Health - Springfield Regional Medical Center

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Mercy Health Partners

  dba Mercy Health - Urbana Hospital

  • Critical Access Hospital
  • Urbana, OH
  • NPI 1144286352
  Care Compare affiliation
• Community Mercy Health Partners

  dba Mercy Health - Springfield Regional Medical Center

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  Care Compare affiliation
• Community Mercy Health Partners

  dba Mercy Health - Lab Services, Springfield

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Community Mercy Home Care Services of Springfield, LLC

  • Home Health Agency
  • Springfield, OH
  • NPI 1790779221
  Care Compare affiliation

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1265842751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041890",
            "telephone_number": "937-717-4884",
            "fax_number": "937-717-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041890",
            "telephone_number": "937-717-4884",
            "fax_number": "937-717-6207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15855 19 Mile Road",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "48038",
            "country_code": "US",
            "telephone_number": "586-203-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAENDEL",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.014029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzaneh Mader
• Joseph Patrick Mader, AA
• Madison Avenue Pharmacy
• Madison Avenue Pharmacy Inc
• Madison Avenue Pharmacy Inc
• Jayde Magee
• Mitchell J Maginnis, OD
• Mark Thomas Main, PT
• Jenna Mains
• Patricia A Mairet, MFT

• Surgery Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.
• 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.