Active NPI
Maumee Family Physicians Inc
- Family Medicine Physician
- Maumee, OH
National Provider Identifier
1578600862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38677
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neriel Y Bernblum, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Maumee, OH
- NPI 1790882876
-
- Family Medicine Physician
- Maumee, OH
- NPI 1215034301
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.