Northwest Ohio Primary Care Physicians, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35056893 Issued in OH

Legal business name

NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC

Practice address

5757 Monclova Rd
Suite 10
Maumee, OH 43537-1863

Phone

(419) 887-0803

Fax

(419) 887-0817

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Gladieux, M.D.

Title

Physician

Phone

(419) 887-0803

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386674562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD",
            "address_2": "SUITE 10",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-887-0803",
            "fax_number": "419-887-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD",
            "address_2": "SUITE 10",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-887-0803",
            "fax_number": "419-887-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLADIEUX",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-887-0803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35056893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891790804",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin M Nitz, LPCC
• Nna of Toledo, Inc. (FMS Arrowhead)
• Linda Nordahl, LSW
• Timothy Northrup
• Northwest Ohio Medical Equipment LLC (Northwest Ohio Medical Equipment)
• Northwest Ohio Sleep Solutions LLC
• Northwest Surgical Specialists, Inc.
• Nurse Education Solutions LLC (Nurse Education Solutions)
• Nursing Resources Corporation
• Sarah Lavette Oden

• Pediatrics Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.