NPIMap

Organization Active NPI

Wayne Hospital Company Professional Services LLC

  • Family Medicine Physician
  • Greenville, OH
National Provider Identifier
1326371675
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC
Practice address
835 Sweitzer St
Greenville, OH 45331-1007
Phone
(937) 548-1141
Fax
(937) 547-5789
NPI assigned
Sep 17, 2009
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WAYNE HOSPITAL COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Mr. Jeff Subler
Title
Ceo
Phone
(937) 548-1141

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X
Interventional Cardiology Physician 207RI0011X
Obstetrics & Gynecology Physician 207V00000X
Surgery Physician 208600000X
General Practice Physician 208D00000X
Hospitalist Physician 208M00000X

Addresses

Primary practice location

835 Sweitzer St
Greenville, OH 45331-1007

Mailing address

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 548-1141

Other practice location 1

122 Martz St
Greenville, OH 45331-1052
Phone (937) 569-6707

Other practice location 2

828 Central Ave
Greenville, OH 45331-1206
Phone (937) 569-6996

Other practice location 3

804 Central Ave
Greenville, OH 45331-1206
Phone (937) 547-0107

Other practice location 4

820 Central Ave
Greenville, OH 45331-1206
Phone (937) 548-5365

Other practice location 5

622 E Elm St
Union City, OH 45390-1722
Phone (937) 968-7416

Other identifiers 1

IdentifierTypeStateIssuer
3010888MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100115000590 OH Part B Supplier - Clinic/Group Practice 3476695354 Receives reassigned benefits from 14 practitioners
Practice locations: Greenville, OH; Union City, OH

National Provider Directory

National Provider Directory
Part of
Wayne Hospital

Locations

122 Martz St
Greenville, OH 45331
Phone (937) 459-5057

622 E Elm St
Ste A
Union City, OH 45390
Phone (937) 968-7416

622 E Elm St
Ste B
Union City, OH 45390
Phone (937) 968-3127

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1326371675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-548-1141",
            "fax_number": "937-547-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-548-1141",
            "fax_number": "937-547-5789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Martz St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311052",
            "country_code": "US",
            "telephone_number": "937-569-6707",
            "fax_number": "937-459-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "828 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311206",
            "country_code": "US",
            "telephone_number": "937-569-6996",
            "fax_number": "937-569-6079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311206",
            "country_code": "US",
            "telephone_number": "937-547-0107",
            "fax_number": "937-547-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311206",
            "country_code": "US",
            "telephone_number": "937-548-5365",
            "fax_number": "937-548-4456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 E Elm St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "OH",
            "postal_code": "453901722",
            "country_code": "US",
            "telephone_number": "937-968-7416",
            "fax_number": "937-968-3026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE HOSPITAL COMPANY",
        "enumeration_date": "2009-09-17",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "SUBLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-548-1141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.