Mercer Osteopathic LTD
Organization Active NPI Family Medicine Physician · Fort Recovery, OH
NPI 1316967904 · NPPES record last updated Jun 4, 2010
Key facts
- NPI
- 1316967904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34 005329 (OH)
- Legal business name
- MERCER OSTEOPATHIC LTD
- Practice address
- 1830 Union City Road
Fort Recovery, OH 45846-0635 - Phone
- (419) 375-4144
- Fax
- (419) 375-4361
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Edward E Hosbach, DO
- Title
- President
- Phone
- (419) 375-4144
Practitioners 1
National Provider Directory
Locations
1830 Union City Rd
Fort Recovery, OH 45846
Phone (419) 375-4144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 34 004555 | OH | |
| Family Medicine Physician |
207Q00000X | 34 005329 | OH | Yes |
| Nurse Practitioner |
363L00000X | NP 05008 | OH |
Addresses
Primary practice location
1830 Union City Road
Fort Recovery, OH 45846-0635
Mailing address
1830 Union City Rd
Ft Recovery, OH 45846-0635
Phone (419) 375-4144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0931782 | Medicaid | OH | |
| 0234455 | Medicaid | OH | |
| 0752412 | Medicaid | OH | |
| 2134327 | Medicaid | OH |
Other providers in Fort Recovery, OH
- Kaup Pharmacy, Inc.
- Gerald Mark Kaup
- Jonathan M Kaup
- Lorraine Marie Kaup
- Casey Elizabeth Koester
- Angela L Noggler
- Wendy Parker-Olding
- Jessica Rauh
- Daniel Rex
- David M Rohrer
All providers in Fort Recovery, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.