Wauseon Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35083971 Issued in OH

Legal business name

WAUSEON FAMILY PRACTICE

Practice address

725 S Shoop Ave
Wauseon, OH 43567-1702

Phone

(419) 337-9990

Fax

(419) 337-9996

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ramon Anthony Issa, M.D.

Title

Owner

Phone

(419) 337-9990

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285815076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671702",
            "telephone_number": "419-337-9990",
            "fax_number": "419-337-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671702",
            "telephone_number": "419-337-9990",
            "fax_number": "419-337-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUSEON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-337-9990",
        "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": "35083971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504669",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000350389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wauseon Dental Group L.L.C.
• Wauseon Dental Group L.L.C.
• Wauseon Dialysis LLC
• Wauseon Exempted Village SD
• Wauseon Eye Care, LLC
• Wauseon Healthcare LLC
• Kathleen L Wesche, RPH
• Amy Miller White
• Lindsay Nichole Whitman Drewes
• George R Williams III, MD

• Family Medicine Physician in Wauseon, OH
• Providers in Wauseon, 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 Apr 20, 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.