| Auglaize Family Practice Center Llc | |
|
1007 W Auglaize St Wapakoneta OH 45895-1351 | |
| (419) 738-9601 | |
| (419) 941-1368 |
| Full Name | Auglaize Family Practice Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1007 W Auglaize St, Wapakoneta, Ohio |
| Authorized Official Name and Position | Amy Dale Hoyt (OFFICE MANAGER) |
| Authorized Official Contact | 4197389680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auglaize Family Practice Center Llc Po Box 359 Wapakoneta OH 45895-0359 Ph: (419) 738-9601 | Auglaize Family Practice Center Llc 1007 W Auglaize St Wapakoneta OH 45895-1351 Ph: (419) 738-9601 |
| NPI Number | 1588654230 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 12/08/2009 |
| Medicare PECOS PAC ID | 1850469164 |
|---|---|
| Medicare Enrollment ID | O20081014000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588654230 | NPI | - | NPPES |
| 2136861 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
| Provider Name | Parmie Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053301614 PECOS PAC ID: 7012078694 Enrollment ID: I20091029000595 |
| Provider Name | George A Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497745137 PECOS PAC ID: 2769550078 Enrollment ID: I20100111000302 |
| Provider Name | Jamie A Szelagowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821251562 PECOS PAC ID: 1254505035 Enrollment ID: I20111111000496 |
| Provider Name | Heather Selby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144956582 PECOS PAC ID: 4486687175 Enrollment ID: I20220902001301 |
| Provider Name | Kimberly R Wiener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326642869 PECOS PAC ID: 3173998507 Enrollment ID: I20230417001094 |
Mathew M. Jose, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 S Blackhoof St, Wapakoneta, OH 45895 Phone: 419-738-3317 Fax: 419-738-5952 | |
Deron Horman, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 S Blackhoof St, Wapakoneta, OH 45895 Phone: 419-738-3317 Fax: 419-738-5952 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 N Blackhoof St, Wapakoneta, OH 45895 Phone: 866-808-6005 | |
Lmpc Specialists At Wapakoneta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 W Redskin Trl, Wapakoneta, OH 45895 Phone: 419-738-5151 Fax: 419-941-1092 |