NPIMap

Individual provider Active NPI

Jennifer R Maag, MD

  • Family Medicine Physician
  • Ottawa, OH
National Provider Identifier
1689841900
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.097228 Issued in OH
Practice address
102 Putnam Pkwy
Ottawa, OH 45875-8657
Phone
(419) 523-9632
Fax
(419) 523-9636
NPI assigned
May 15, 2008
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01067107A IN
Family Medicine Physician 207Q00000X 35.097228 OH Primary

Addresses

Primary practice location

102 Putnam Pkwy
Ottawa, OH 45875-8657

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Other names 1

  • Jennifer R Schroeder Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.maag@lmpc.eclinicaldirectplus.com

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
I20110915000764 OH Practitioner - Family Practice 6800941840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Putnam Pkwy
Ottawa, OH 45875-8678
Phone (419) 523-9632

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067107AINMDFamily Medicine Physician
35.097228OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Sep 26, 2011 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Sep 26, 2011 Accepting new patients
Lima Memorial Professional Corporation Family Medicine Past Accepting new patients
Fort Wayne Medical Education Program Family Medicine PastSince Sep 1, 2024 Accepting new patients
Autumn Court Operating Company, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

102 W Ash St
Continental, OH 45831
Phone (419) 596-3133

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

102 Putnam Pkwy
Ottawa, OH 45875
Phone (419) 523-9632

Interoperability endpoints

  • Direct secure messaging: jennifer.maag@lmpc.eclinicaldirectplus.com

Organizations & group practices 6

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 8

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1689841900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PUTNAM PKWY",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458758657",
            "telephone_number": "419-523-9632",
            "fax_number": "419-523-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAG",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01067107A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.097228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.maag@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "102 Putnam Pkwy",
            "city": "Ottawa",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458758657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHROEDER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ottawa, OH

Sources for this page

Verify at the official NPI Registry.