Sandusky Medical & Pain Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35074103 Issued in OH

Legal business name

SANDUSKY MEDICAL & PAIN CLINIC

Practice address

208 E Perkins Ave
Sandusky, OH 44870-4905

Phone

(419) 621-1555

Fax

(419) 621-1405

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Issam Ahmad Al-Turk, M.D.

Title

Owner

Phone

(419) 621-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Stephen Neumann, D.O.

  • General Practice Physician
  • Lambertville, MI
  • NPI 1831226398
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1902080310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704905",
            "telephone_number": "419-621-1555",
            "fax_number": "419-621-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704905",
            "telephone_number": "419-621-1555",
            "fax_number": "419-621-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDUSKY MEDICAL & PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "AL-TURK",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-621-1555",
        "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": "35074103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandusky City School District
• Sandusky Dialysis LLC (Sandusky Dialysis Center)
• Sandusky Family Practice Inc
• Sandusky Gastroenterologists, Inc.
• Sandusky Lions Wrestling Club (Sandusky Lions)
• Sandusky Orthopedic Surgeons Inc (Sandusky Orthopedics & Rheumatology)
• Sandusky Plastic Surgery Inc (Surgery Center of Sandusky)
• Sandusky Rheumatology, Inc
• Sandusky Wellness Center Inc
• Sandusky Wellness DME LLC

• Family Medicine Physician in Sandusky, OH
• Providers in Sandusky, 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 May 1, 2008; 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.