NPIMap

Organization Active NPI

Maumee Health & Wellness Associates Inc

  • Family Medicine Physician
  • Maumee, OH
National Provider Identifier
1952455719
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00343732 Issued in OH
Legal business name
MAUMEE HEALTH & WELLNESS ASSOCIATES INC
Practice address
5757 Monclova Rd
Suite 17
Maumee, OH 43537-1863
Phone
(419) 887-0896
Fax
(419) 893-3046
NPI assigned
Jan 22, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dwight E Bryan, DONPI 1538155213
Title
Owner President
Phone
(419) 887-0896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 00343732 OH Primary

Addresses

Primary practice location

5757 Monclova Rd
Suite 17
Maumee, OH 43537-1863

Mailing address

5757 Monclova Rd
Suite 17
Maumee, OH 43537-1863
Phone (419) 887-0896

Other names 1

  • Dwight E Bryan DO Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952455719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD",
            "address_2": "SUITE 17",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-887-0896",
            "fax_number": "419-893-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD",
            "address_2": "SUITE 17",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-887-0896",
            "fax_number": "419-893-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE HEALTH & WELLNESS ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "419-887-0896",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "00343732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dwight E Bryan DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.