Perrysburg Family Physicians LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35050638W Issued in OH

Legal business name

PERRYSBURG FAMILY PHYSICIANS LLC

Practice address

702 Commerce Dr
Suite 160
Perrysburg, OH 43551-5239

Phone

(419) 872-7600

Fax

(419) 872-7601

NPI assigned

Oct 6, 2006

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey F Wirebaugh, M.D.

Title

Administraing Physician

Phone

(419) 872-7600

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/691/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1700973492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR",
            "address_2": "SUITE 160",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515239",
            "telephone_number": "419-872-7600",
            "fax_number": "419-872-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR",
            "address_2": "SUITE 160",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515239",
            "telephone_number": "419-872-7600",
            "fax_number": "419-872-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "WIREBAUGH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRAING PHYSICIAN",
        "authorized_official_telephone_number": "419-872-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35050638W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.