NPIMap

Individual provider Active NPI

Marc Anthony Naderer, MD

  • Family Medicine Physician
  • Clyde, OH
National Provider Identifier
1487865234
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-090068 Issued in OH
Practice address
1076 W McPherson Hwy
Clyde, OH 43410-1002
Phone
(419) 547-0340
Fax
(419) 547-9130
NPI assigned
May 24, 2007
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-090068 OH Primary

Addresses

Primary practice location

1076 W McPherson Hwy
Clyde, OH 43410-1002

Mailing address

1076 W McPherson Hwy
Clyde, OH 43410-1002
Phone (419) 547-0340

Other identifiers 1

IdentifierTypeStateIssuer
2901953MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000640 OH Practitioner - Family Practice 2961578240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-090068OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince Jun 26, 2023 Accepting new patients
North Coast Professional Company, LLC CurrentSince Aug 1, 2025 Accepting new patients
North Coast Professional Company, LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jun 26, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1255 W Main St
Ste B
Bellevue, OH 44811
Phone (419) 334-3869

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

1400 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-2494

1351 E McPherson Hwy
#110
Clyde, OH 43410
Phone (419) 483-9000

402 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0340

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: marcnaderer@bpsoh.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Bellevue HospitalBellevue, OH, CCN 36U107 Hospital Other Sep 11, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1487865234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101002",
            "telephone_number": "419-547-0340",
            "fax_number": "419-547-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101002",
            "telephone_number": "419-547-0340",
            "fax_number": "419-547-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADERER",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-090068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2901953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, OH

Sources for this page

Verify at the official NPI Registry.