North Coast Professional Company, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NORTH COAST PROFESSIONAL COMPANY, LLC

Doing business as

Firelands Physician Group Urgent Care

Practice address

1470 West McPherson Highway
Clyde, OH 43410

Phone

(419) 557-5541

Fax

(419) 557-5542

NPI assigned

Dec 11, 2013

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janis A Shriver, HCMBA, CPA

Title

Vice President

Phone

(419) 557-5540

Specialties & licenses 1

Addresses

Other names 1

• Firelands Physician Group Urgent Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Firelands Physician Group Urgent Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• North Coast Professional Company, LLC

  dba Firelands Physician Group Urgent Care Center

  • Urgent Care Clinic/Center
  • Sandusky, OH
  • NPI 1073877551
  NPD tax ID
• North Coast Professional Company, LLC

  dba Firelands Physician Group Urgent Care

  • Urgent Care Clinic/Center
  • Vermilion, OH
  • NPI 1487099321
  NPD tax ID
• Northcoast Professional Company LLC

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1184007007
  NPD tax ID

Locations

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1992136279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 WEST MCPHERSON HIGHWAY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "43410",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PROFESSIONAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "SHRIVER",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-557-5540",
        "authorized_official_credential": "HCMBA, CPA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firelands Physician Group Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jo Morgan
• Marc Anthony Naderer, MD
• Kimberly Navratil
• North Central Family Physicians Inc
• North Coast Cancer Care, Inc
• Northern Ohio Medical Specialists, LLC (NOMS Healthcare)
• Northern Ohio Medical Specialists, LLC
• Northern Ohio Medical Specialists,LLC
• Northwest Primary Care, Inc
• Jill Palomo

• Urgent Care Clinic/Center in Clyde, OH
• Providers in Clyde, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.