Organization Active NPI

North Coast Professional Company, LLC

Doing business as Firelands Physician Group

  • Rural Health Clinic/Center
  • Fremont, OH
National Provider Identifier
1407393242
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTH COAST PROFESSIONAL COMPANY, LLC
Doing business as
Firelands Physician Group
Practice address
675 Bartson Rd
Fremont, OH 43420
Phone
(419) 557-5541
Fax
(419) 557-5542
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Janis A Shriver
Title
Vice President
Phone
(419) 557-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

675 Bartson Rd
Fremont, OH 43420

Mailing address

1031 Pierce Street
Sandusky, OH 44870
Phone (419) 557-5541

Other names 1

  • Firelands Physician Group Doing business as

National Provider Directory

National Provider Directory

Locations

101 S Washington St
Castalia, OH 44824
Phone (419) 684-5369

1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700

300 Williams St
Huron, OH 44839
Phone (419) 433-5222

3960 East Harbor Rd
Port Clinton, OH 43452
Phone (419) 557-5488

1101 Decatur St
Sandusky, OH 44870
Phone (330) 656-5800

1200 Prospect St
Ste 101
Sandusky, OH 44870
Phone (419) 557-6361

1200 Prospect St
Ste 103
Sandusky, OH 44870
Phone (419) 609-8000

1313 W Bogart Rd
Sandusky, OH 44870
Phone (419) 627-1255

143 E Water St
Sandusky, OH 44870
Phone (419) 609-9955

6015 Milan Rd
Sandusky, OH 44870
Phone (419) 625-8765

1605 State Route 60
Ste 9
Vermilion, OH 44089
Phone (440) 967-1128

Practitioners & affiliated clinicians

Practitioners 185

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 185

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1407393242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE STREET",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BARTSON RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "43420",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PROFESSIONAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "SHRIVER",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-557-5540"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firelands Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.