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Organization Active NPI

Blanchard Valley Medical Practice LLC

  • Family Medicine Physician
  • Findlay, OH
National Provider Identifier
1962501627
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLANCHARD VALLEY MEDICAL PRACTICE LLC
Practice address
1900 South Main Street
Findlay, OH 45840-1239
Phone
(419) 423-4500
Fax
(419) 423-5550
NPI assigned
Sep 21, 2006
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
David Cytlak
Title
VP
Phone
41944235497

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Pulmonary Disease Physician 207RP1001X NU
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X 35088792 OH

Addresses

Primary practice location

1900 South Main Street
Findlay, OH 45840-1239

Mailing address

1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-4500

Other identifiers 2

IdentifierTypeStateIssuer
DD9723OtherOHRAILROAD GROUP
2602544MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050811000177 OH Part B Supplier - Clinic/Group Practice 9234168147 Receives reassigned benefits from 88 practitioners
Practice locations: Findlay, OH; Fostoria, OH; Leipsic, OH; MC Comb, OH; North Baltimore, OH; Ottawa, OH; Carey, OH; Bluffton, OH

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

122 N Jackson St
Ste A
Bluffton, OH 45817
Phone (419) 549-5865

559 Harmon Rd
Bluffton, OH 45817
Phone (419) 358-8856

930 Sheriden Dr
Ste A
Carey, OH 43316
Phone (419) 396-7683

15840 Medical Dr S
Findlay, OH 45840
Phone (419) 423-3780

1900 S Main St
Ste P
Findlay, OH 45840
Phone (419) 423-5430

2911 N Main St
Findlay, OH 45840
Phone (419) 422-9656

340 College St
Findlay, OH 45840
Phone (419) 423-5262

3411 Wellness Way
Ste B1
Findlay, OH 45840
Phone (419) 423-5344

216 E Lima St
Forest, OH 45843
Phone (419) 273-2553

271 Park Dr S
Mc Comb, OH 45858
Phone (419) 293-0601

209 Briar Hill Rd
Ste B
North Baltimore, OH 45872
Phone (419) 257-2992

1740 N Perry St
Ste A
Ottawa, OH 45875
Phone (419) 523-0012

Practitioners & affiliated clinicians

Practitioners 98

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.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1962501627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401214",
            "telephone_number": "419-423-4500",
            "fax_number": "419-423-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SOUTH MAIN STREET",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401239",
            "telephone_number": "419-423-4500",
            "fax_number": "419-423-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARD VALLEY MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "CYTLAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "41944235497"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35088792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "DD9723",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2602544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.