Organization Active NPI

Maumee Family Physicians Inc

  • Family Medicine Physician
  • Maumee, OH
National Provider Identifier
1578600862
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38677 Issued in OH
Legal business name
MAUMEE FAMILY PHYSICIANS INC
Practice address
120 W Dudley St
Maumee, OH 43537
Phone
(419) 893-1971
Fax
(419) 893-2321
NPI assigned
Jan 30, 2007
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Neriel Y Bernblum, MDNPI 1790882876
Title
President MD
Phone
(419) 893-1971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40287 OH
Family Medicine Physician 207Q00000X 38677 OH Primary

Addresses

Primary practice location

120 W Dudley St
Maumee, OH 43537

Mailing address

120 W Dudley St
Maumee, OH 43537
Phone (419) 893-1971

National Provider Directory

National Provider Directory

Locations

120 W Dudley St
Maumee, OH 43537
Phone (419) 345-4996

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1578600862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W DUDLEY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-893-1971",
            "fax_number": "419-893-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W DUDLEY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-893-1971",
            "fax_number": "419-893-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE FAMILY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BERNBLUM",
        "authorized_official_first_name": "NERIEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT MD",
        "authorized_official_telephone_number": "419-893-1971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "40287",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "38677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.