Magruder Medical Group LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGRUDER MEDICAL GROUP LTD

Practice address

611 Fulton St Ste E
Port Clinton, OH 43452-2008

Phone

(419) 734-4539

Fax

(419) 734-6365

NPI assigned

Jul 13, 2017

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

H.B. MAGRUDER MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Jon T Almendinger

Title

President & Ceo

Phone

(419) 734-3131

Specialties & licenses 6

Addresses

Electronic endpoints 14

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

HB Magruder Memorial Hospi

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• H.B. Magruder Memorial Hospital

  dba Magruder Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Port Clinton, OH
  • NPI 1770683906

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: chad.blunt@magruderhospital.com
• Direct secure messaging: daniel.cadigan@direct.magruderhospital.com
• Direct secure messaging: david.bodie@direct.magruderhospital.com
• Direct secure messaging: gary.kresge@direct.magruderhospital.com
• Direct secure messaging: james.mclean@direct.magruderhospital.com
• Direct secure messaging: karen.klaege@direct.magruderhospital.com
• Direct secure messaging: leonardo.que@direct.magruderhospital.com
• Direct secure messaging: lisa.ebert@direct.magruderhospital.com
• Direct secure messaging: michelle.buehrer@direct.magruderhospital.com
• Direct secure messaging: raymond.fuller@direct.magruderhospital.com
• Direct secure messaging: sean.callahan@direct.magruderhospital.com
• Direct secure messaging: stephanie.gonya@direct.magruderhospital.com
• Direct secure messaging: steven.jackson@direct.magruderhospital.com
• Direct secure messaging: timothy.mummert@direct.magruderhospital.com

Practitioners 13

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.

• Chad Michael Blunt, M.D.

  • Family Medicine Physician
  • Oak Harbor, OH
  • NPI 1447345301
  Medicare reassignment Care Compare group NPD
• David Andrew Bodie, M.D.

  • Family Medicine Physician
  • Port Clinton, OH
  • NPI 1982797668
  Medicare reassignment Care Compare group NPD
• Bradley Joseph Buck, MD

  • Urology Physician
  • Toledo, OH
  • NPI 1831463181
  Medicare reassignment Care Compare group NPD
• Sean Patrick Callahan, M.D.

  • Family Medicine Physician
  • Oak Harbor, OH
  • NPI 1194811828
  Medicare reassignment Care Compare group NPD
• Lisa Ann Ebert, CNP

  • Family Nurse Practitioner
  • Fremont, OH
  • NPI 1588727135
  Medicare reassignment Care Compare group NPD
• Raymond D. Fuller, M.D.

  • Surgery Physician
  • Delaware, OH
  • NPI 1356424899
  Medicare reassignment Care Compare group NPD
• Stephanie Marie Scherger Gonya, CNP

  • Family Nurse Practitioner
  • Marblehead, OH
  • NPI 1790019610
  Medicare reassignment Care Compare group NPD
• Charles P House Sr., DO

  • Family Medicine Physician
  • Clyde, OH
  • NPI 1225007016
  Medicare reassignment Care Compare group NPD
• Steven Peter Jackson, D.O.

  • Family Medicine Physician
  • Marblehead, OH
  • NPI 1265527865
  Medicare reassignment Care Compare group NPD
• Karen L Klaege, MD

  • Family Medicine Physician
  • Port Clinton, OH
  • NPI 1790996262
  Medicare reassignment Care Compare group NPD
• James Alexander McLean, M.D.

  • Family Medicine Physician
  • Port Clinton, OH
  • NPI 1518050152
  Medicare reassignment Care Compare group NPD
• Timothy Wayne Mummert, D.O.

  • Internal Medicine Physician
  • Port Clinton, OH
  • NPI 1265426993
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1871015578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522001",
            "telephone_number": "419-734-3131",
            "fax_number": "419-732-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FULTON ST STE E",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522008",
            "telephone_number": "419-734-4539",
            "fax_number": "419-734-6365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Fulton St Ste C",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522008",
            "country_code": "US",
            "telephone_number": "419-732-6500",
            "fax_number": "419-732-1512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2861 E Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522665",
            "country_code": "US",
            "telephone_number": "419-732-1833",
            "fax_number": "419-732-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1297 W Main St",
            "address_purpose": "LOCATION",
            "city": "Marblehead",
            "state": "OH",
            "postal_code": "434402002",
            "country_code": "US",
            "telephone_number": "419-798-4418",
            "fax_number": "419-798-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11697 W State Route 163",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "OH",
            "postal_code": "434499113",
            "country_code": "US",
            "telephone_number": "419-898-0993",
            "fax_number": "419-898-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522034",
            "country_code": "US",
            "telephone_number": "419-732-6520",
            "fax_number": "419-734-5414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434529296",
            "country_code": "US",
            "telephone_number": "419-734-5587",
            "fax_number": "419-732-1553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Fulton St Ste G",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522008",
            "country_code": "US",
            "telephone_number": "419-732-8837",
            "fax_number": "419-734-6658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522414",
            "country_code": "US",
            "telephone_number": "419-301-4335",
            "fax_number": "419-734-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGRUDER MEDICAL GROUP LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H.B. MAGRUDER MEMORIAL HOSPITAL",
        "enumeration_date": "2017-07-13",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "ALMENDINGER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "419-734-3131"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.ebert@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "621 Fulton Street, Port Clinton, Ohio 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "621 Fulton St",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chad.blunt@magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "11697 W State Route 163, Oak Harbor, OH  43449",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "11697 W State Route 163",
            "city": "Oak Harbor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434499113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.bodie@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "621 Fulton Street, Port Clinton, OH  43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "621 Fulton St",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.cadigan@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "2861 E Harbor Rd, Port Clinton, OH 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2861 E Harbor Rd",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sean.callahan@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "11697 W State Route 163, Oak Harbor, OH 43449",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "11697 W State Route 163",
            "city": "Oak Harbor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434499113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.mclean@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "621 Fulton Street, Port Clinton, OH 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "621 Fulton St",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.klaege@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "621 Fulton Street, Port Clinton, Ohio 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "621 Fulton St",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gary.kresge@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "611 Fulton St., Ste G, Port Clinton, Ohio 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "611 Fulton St Ste G",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.jackson@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "1297 W Main Street, Marblehead, Ohio 43440",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1297 W Main St",
            "city": "Marblehead",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434402002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.mummert@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "1250 Fulton Street, Port Clinton, OH 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1250 Fulton St",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434529296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raymond.fuller@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "611 Fulton Street,Suite C, Port Clinton, Ohio 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "611 Fulton St Ste C",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leonardo.que@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "611 Fulton Street, Ste E, Port Clinton, OH 43452",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "611 Fulton St Ste E",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.buehrer@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "11697 W State Route 163, Oak Harbor, OH 43449",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "11697 W State Route 163",
            "city": "Oak Harbor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434499113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.gonya@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "1297 W. Main Street, Marblehead, Ohio 43440",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1297 W Main St",
            "city": "Marblehead",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434402002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Lucas
• Olivia Luppino
• Kris Lyons
• Mindy Mack
• Madison Eye Care of Port Clinton LLC (Madison Eye Care)
• Anissa Natalia Mahmood, M.S., P.C.
• Lisa Maletich
• Olga Marez
• Mark a . & Michael D. Hablitzel, D.D.S., Inc.
• Richard Ronald Maruschak, DDS

• Family Medicine Physician in Port Clinton, OH
• Providers in Port Clinton, 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 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.