Wakeman Area Family Care Center
Organization Active NPI Family Medicine Physician · Wakeman, OH
NPI 1447201470 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1447201470
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35062083 (OH)
- Legal business name
- WAKEMAN AREA FAMILY CARE CENTER
- Practice address
- 24 Hyde St
Wakeman, OH 44889-9301 - Phone
- (440) 839-2226
- Fax
- (440) 839-1339
- NPI assigned
- May 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Laura Tanigawa
- Title
- Office Manager
- Phone
- (440) 839-2226
Practitioners 12
-
Mary Ames, NP
-
Andrea Marie Bertke, NP-C
-
Patricia Carol Bordner, NP-C
-
Kareem Rozanne Dolce, DPM
-
Timothy Plank, DO
-
Deborah Jean Sommers, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 35062083 | OH | Yes |
| Physician Assistant |
363A00000X | 50000956 | OH | |
| Family Nurse Practitioner |
363LF0000X | NP08465 | OH |
Addresses
Primary practice location
24 Hyde St
Wakeman, OH 44889-9301
Mailing address
24 Hyde St
Wakeman, OH 44889-9301
Phone (440) 839-2226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158481 | Medicaid | OH |
Other providers in Wakeman, OH
- Justin E Studd
- Lisa Michelle Studd
- Jennifer Szabo
- Margot Thornton
- Heather Tully
- Wakeman Fire District
- Heather Marie Walker
- Laura Marie Wheeler
- Beth Wissinger
- McKenna Woodruff
All providers in Wakeman, 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 Dec 19, 2007. 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.