Maumee Medical Partners LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004485 Issued in OH

Legal business name

MAUMEE MEDICAL PARTNERS LTD

Practice address

111 Clinton St
Maumee, OH 43537-2811

Phone

(419) 893-7671

Fax

(419) 893-0314

NPI assigned

Nov 21, 2005

Last updated

Dec 12, 2013By 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

Molly McLear

Title

Billing/Credentialing Manager

Phone

(419) 893-7671

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Kendzierski, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Toledo, OH
  • NPI 1629053681
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1275516528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLINTON ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-893-7671",
            "fax_number": "419-893-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLINTON ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-893-7671",
            "fax_number": "419-893-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE MEDICAL PARTNERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "MCLEAR",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "419-893-7671"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG7218",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01973",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2174445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maumee Discount Pharmacy
• Maumee Eye Clinic, Inc.
• Maumee Family Physicians Inc
• Maumee Health & Wellness Associates Inc
• Maumee Internists, Inc.
• Maumee Pediatric Associates, LLC
• Maumee Urgent Medical Care Center
• Maurice Converse
• Najib Mawad, R.PH.
• Maxim Mobility LLC

• Family Medicine Physician in Maumee, OH
• Providers in Maumee, 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 Dec 12, 2013; 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.