Van Wert Medical Services, LTD.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36002056 Issued in OH

Legal business name

VAN WERT MEDICAL SERVICES, LTD.

Practice address

140 Fox Rd
Ste 209
Van Wert, OH 45891-2475

Phone

(419) 238-8621

Fax

(419) 238-0424

NPI assigned

Nov 7, 2016

Last updated

Nov 7, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

VAN WERT MEDICAL SERVICES, LTD.As reported in NPPES

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

Authorized official

Name

Michael Holliday

Title

Fiscal & Administrative Services

Phone

(419) 238-2390

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Van Wert Medical Services, Ltd. Specialty Other name

Part of

Van Wert Medical Services LTD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Van Wert County Hospital Association

  dba Van Wert Rural Health Clinic

  • Rural Health Clinic/Center
  • Van Wert, OH
  • NPI 1245857804

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1467994541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "address_2": "STE 202",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-238-6735",
            "fax_number": "419-232-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "address_2": "STE 209",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-238-8621",
            "fax_number": "419-238-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WERT MEDICAL SERVICES, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN WERT MEDICAL SERVICES, LTD.",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FISCAL & ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "419-238-2390"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36002056",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2641903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Wert Medical Services, Ltd. Specialty",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Van Wert County Hospital Association
• Van Wert County Hospital Association (Infusion Van Wert)
• Van Wert County Hospital Association (Van Wert Health)
• Van Wert County Office of Auditor (Van Wert County Health Department)
• Van Wert Medical Services, LTD. (Van Wert Medical Services - DME)
• Van Wert Medical Services, LTD.
• Van Wert Medical Services, LTD. (Van Wert North)
• Van Wert Vision LTD
• Brandon M Verhoff
• Vna Comprehensive Services, Inc. (Private Duty of Vna)

• Foot & Ankle Surgery Podiatrist in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.