Health Services of Wyandot County, Inc.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

HEALTH SERVICES OF WYANDOT COUNTY, INC.

Doing business as

Palliative Care of Wyandot County

Practice address

105 Houpt Dr
Upper Sandusky, OH 43351-9201

Phone

(419) 294-5787

NPI assigned

Feb 17, 2020

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTH SERVICES OF WYANDOT COUNTY, INC.As reported in NPPES

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

Authorized official

Name

Ty R Shaull

Title

President, Board of Directors

Phone

(419) 294-4991

Specialties & licenses 1

Addresses

Other names 1

• Palliative Care of Wyandot County Doing business as

Part of

Health Services of Wyandot County Inc

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1942833124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HOUPT DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519201",
            "telephone_number": "419-294-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOUPT DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519201",
            "telephone_number": "419-294-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF WYANDOT COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SERVICES OF WYANDOT COUNTY, INC.",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "SHAULL",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "419-294-4991"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Care of Wyandot County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica A. Gilmore, PAC
• Lauren Taylor Greenlee, CNP
• Benjamin J Hammer, DO
• Melissa Rose Hansen, PHARMD, RPH
• Deidri Harper, RN
• Brooke Higgins, RD, LD
• Jonell L Hill, LPC
• Erika Nicole Holloway, LSW
• Christa Holt
• Stephen P Hoover, DDS

• Adult Health Nurse Practitioner in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.