Wauseon Clinic Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WAUSEON CLINIC CORP

Practice address

495 S Shoop Ave
Wauseon, OH 43567-1719

Phone

(419) 335-7921

Fax

(419) 337-5988

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard John Grieser, MD

Title

President

Phone

(419) 335-7921

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1992996524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435670418",
            "telephone_number": "419-335-7921",
            "fax_number": "419-337-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671719",
            "telephone_number": "419-335-7921",
            "fax_number": "419-337-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUSEON CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "GRIESER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-335-7921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0646340",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Jeanne Wallace
• Jacqueline Wallischeck
• Rebecca Ward, LMT
• Wauseon Dental Group L.L.C.
• Wauseon Dental Group L.L.C.
• Wauseon Dialysis LLC
• Wauseon Exempted Village SD
• Wauseon Eye Care, LLC

• Family Medicine Physician in Wauseon, OH
• Providers in Wauseon, 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 Feb 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.