Fchc Medical Care, Llc | |
725 S Shoop Ave Wauseon OH 43567-1702 | |
(419) 335-2015 | |
(419) 330-2649 |
Full Name | Fchc Medical Care, Llc |
---|---|
Speciality | Clinic/Center |
Location | 725 S Shoop Ave, Wauseon, Ohio |
Authorized Official Name and Position | Patricia Finn (CEO) |
Authorized Official Contact | 4193352015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fchc Medical Care, Llc 735 S Shoop Ave Wauseon OH 43567-1735 Ph: (419) 335-3242 | Fchc Medical Care, Llc 725 S Shoop Ave Wauseon OH 43567-1702 Ph: (419) 335-2015 |
NPI Number | 1598821175 |
---|---|
Provider Enumeration Date | 12/28/2006 |
Last Update Date | 06/07/2021 |
Medicare PECOS PAC ID | 8022018704 |
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Medicare Enrollment ID | O20070103000005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598821175 | NPI | - | NPPES |
2707324 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Daniel J Hoffman |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1669464376 PECOS PAC ID: 5799689857 Enrollment ID: I20031121000069 |
Provider Name | Charles J Gbur |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1184626483 PECOS PAC ID: 5890694632 Enrollment ID: I20031231000328 |
Provider Name | Ted E Barber |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1568460111 PECOS PAC ID: 9537062542 Enrollment ID: I20040128000696 |
Provider Name | Layth Maolood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790788701 PECOS PAC ID: 5991699753 Enrollment ID: I20040211001252 |
Provider Name | Raza Hashmi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1447244306 PECOS PAC ID: 1153219266 Enrollment ID: I20040309001502 |
Provider Name | Mark Francis Oconnor |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1245232800 PECOS PAC ID: 2466447727 Enrollment ID: I20040416000393 |
Provider Name | Stephen Andrew Cox |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912946054 PECOS PAC ID: 0345224127 Enrollment ID: I20040617001192 |
Provider Name | Philip F Ashton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588657670 PECOS PAC ID: 0941227219 Enrollment ID: I20051026000357 |
Provider Name | Rex B Mowat |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1346247251 PECOS PAC ID: 1456374404 Enrollment ID: I20060105000500 |
Provider Name | Kirk R Davis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1639152978 PECOS PAC ID: 0345146890 Enrollment ID: I20060327000437 |
Provider Name | Beth A White |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1407859333 PECOS PAC ID: 5395658231 Enrollment ID: I20060822000299 |
Provider Name | Mary J Mangen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205882263 PECOS PAC ID: 6608876107 Enrollment ID: I20070108000153 |
Provider Name | Sema J Fofung |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922155563 PECOS PAC ID: 8921009671 Enrollment ID: I20070123000319 |
Provider Name | Benjamin T Forrester |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386764702 PECOS PAC ID: 6800997354 Enrollment ID: I20070727000190 |
Provider Name | Rebecca L Mcclarren |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245216969 PECOS PAC ID: 1951487198 Enrollment ID: I20080327000617 |
Provider Name | Charles M Lash |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1669573978 PECOS PAC ID: 3375620008 Enrollment ID: I20080404000786 |
Provider Name | Carol Krieger |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1184818742 PECOS PAC ID: 2567540412 Enrollment ID: I20080417000715 |
Provider Name | Rosemary A Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093860512 PECOS PAC ID: 4486733938 Enrollment ID: I20080508000490 |
Provider Name | Daniel J Mckernan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1669569091 PECOS PAC ID: 7810892338 Enrollment ID: I20080821000000 |
Provider Name | Christopher J Spieles |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467549816 PECOS PAC ID: 5799850061 Enrollment ID: I20080821000002 |
Provider Name | Richard J Grieser |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245216951 PECOS PAC ID: 6406936962 Enrollment ID: I20080917000059 |
Provider Name | Faheem Ahmad |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1700882685 PECOS PAC ID: 4284702895 Enrollment ID: I20081014000008 |
Provider Name | Alan L Rivera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871569665 PECOS PAC ID: 9739185687 Enrollment ID: I20090624000033 |
Provider Name | Ann M Steck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033320049 PECOS PAC ID: 0244381101 Enrollment ID: I20090706000611 |
Provider Name | Mohammad Rashid |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1477545655 PECOS PAC ID: 0244263101 Enrollment ID: I20090817000079 |
Provider Name | Elizabeth H Cox |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831224278 PECOS PAC ID: 9739235870 Enrollment ID: I20090915000518 |
Provider Name | Richard C Phinney |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1215192703 PECOS PAC ID: 5496892887 Enrollment ID: I20091015000708 |
Provider Name | Timothy George Duckett |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1902880602 PECOS PAC ID: 8426082041 Enrollment ID: I20100316000042 |
Provider Name | Nancy F Shannon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063406387 PECOS PAC ID: 8325173081 Enrollment ID: I20100319000266 |
Provider Name | Shelly K Mills |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821280322 PECOS PAC ID: 1850425422 Enrollment ID: I20100818000385 |
Provider Name | Kathryn A Khandaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417254764 PECOS PAC ID: 0749464436 Enrollment ID: I20110404000750 |
Provider Name | David J Hammersmith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447561550 PECOS PAC ID: 2567634439 Enrollment ID: I20111019000297 |
Provider Name | Rebecca J Shirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285695775 PECOS PAC ID: 7416112347 Enrollment ID: I20120627000557 |
Provider Name | Bonnie J Brahaney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396005559 PECOS PAC ID: 3678739455 Enrollment ID: I20120723000882 |
Provider Name | Mirza Shahzad Hasan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1477653467 PECOS PAC ID: 0749264554 Enrollment ID: I20120904000221 |
Provider Name | Tiffany A Raszka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457600140 PECOS PAC ID: 4284884875 Enrollment ID: I20121016000683 |
Provider Name | Mohammed S Alo |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1447499462 PECOS PAC ID: 4789855990 Enrollment ID: I20121017000023 |
Provider Name | Christopher J Meyer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1366633984 PECOS PAC ID: 2264603067 Enrollment ID: I20130110000281 |
Provider Name | Victor J Cherfan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841419421 PECOS PAC ID: 9234281296 Enrollment ID: I20130218000446 |
Provider Name | Ronda George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801037163 PECOS PAC ID: 1456518919 Enrollment ID: I20130422000135 |
Provider Name | Shaili J Desai |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1285845578 PECOS PAC ID: 8921245432 Enrollment ID: I20130430000478 |
Provider Name | Marissa M Baus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376979286 PECOS PAC ID: 6608005459 Enrollment ID: I20140128000450 |
Provider Name | Brenda M Hoops |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932530649 PECOS PAC ID: 9931338647 Enrollment ID: I20140129000678 |
Provider Name | Katheryn Palmer |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1851718514 PECOS PAC ID: 1254563166 Enrollment ID: I20140408001180 |
Provider Name | Khaled M N Abuhanttash |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184889180 PECOS PAC ID: 0143344382 Enrollment ID: I20140620000981 |
Provider Name | Billie J Denton-miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912312422 PECOS PAC ID: 4385861624 Enrollment ID: I20140811002281 |
Provider Name | Jessica Elyse Durham |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1659787463 PECOS PAC ID: 5799906426 Enrollment ID: I20141022001869 |
Provider Name | Carrianne Marie Baden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689057606 PECOS PAC ID: 8527375021 Enrollment ID: I20150916001048 |
Provider Name | Nicole Mclennan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497124978 PECOS PAC ID: 9133437783 Enrollment ID: I20150930002153 |
Provider Name | Ahmad Zarzour |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1992149041 PECOS PAC ID: 0244534824 Enrollment ID: I20160303002541 |
Provider Name | Jill A Steenhoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861878183 PECOS PAC ID: 0446557490 Enrollment ID: I20160318001215 |
Provider Name | Brian Perkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679913594 PECOS PAC ID: 9436440120 Enrollment ID: I20160922002908 |
Provider Name | Sinan Alo |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1689972168 PECOS PAC ID: 2062639958 Enrollment ID: I20170522000894 |
Provider Name | Rosa E Gonzales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104348499 PECOS PAC ID: 6507138823 Enrollment ID: I20170822002024 |
Provider Name | Michelle Fuhr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114452042 PECOS PAC ID: 4880967397 Enrollment ID: I20170905003535 |
Provider Name | Melinda S Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164946612 PECOS PAC ID: 3274809165 Enrollment ID: I20171020000277 |
Provider Name | Danajo Marie Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659897387 PECOS PAC ID: 3779849997 Enrollment ID: I20171103002002 |
Provider Name | Ahmed G. Elsayed |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1528221827 PECOS PAC ID: 2163697632 Enrollment ID: I20180712003500 |
Provider Name | Hemindermeet Singh |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1821345695 PECOS PAC ID: 7911254511 Enrollment ID: I20180726002907 |
Provider Name | Nicholas Tanner Barnes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376939173 PECOS PAC ID: 5395058820 Enrollment ID: I20180926003418 |
Provider Name | Amber N Araiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063907012 PECOS PAC ID: 7315290665 Enrollment ID: I20181102001186 |
Provider Name | Sarah E Stamm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871071183 PECOS PAC ID: 1153666227 Enrollment ID: I20181218000827 |
Provider Name | Hayley L. Baldwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376010728 PECOS PAC ID: 8820332596 Enrollment ID: I20190204002878 |
Provider Name | Michelle Laver |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851841787 PECOS PAC ID: 3577896273 Enrollment ID: I20190612001712 |
Provider Name | Ahmad Abdelaal |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255880738 PECOS PAC ID: 0244519973 Enrollment ID: I20190816001712 |
Provider Name | Jacob J Grime |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134751456 PECOS PAC ID: 8921907353 Enrollment ID: I20200310000399 |
Provider Name | Annette D Heil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184255614 PECOS PAC ID: 3375974926 Enrollment ID: I20200514000945 |
Provider Name | Nancy Ann Gilligan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467841155 PECOS PAC ID: 6901227412 Enrollment ID: I20200608002985 |
Provider Name | James Daniel Morlock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881292241 PECOS PAC ID: 5395153480 Enrollment ID: I20210408001681 |
Provider Name | Janna L Mennetti |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861061707 PECOS PAC ID: 3678977121 Enrollment ID: I20210805003544 |
Provider Name | Taylor Short |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447736939 PECOS PAC ID: 6608129226 Enrollment ID: I20210819003375 |
Provider Name | Diala Almardeeni |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1932683927 PECOS PAC ID: 5799181632 Enrollment ID: I20210901001975 |
Provider Name | Lindsey M Short |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275208100 PECOS PAC ID: 8123424835 Enrollment ID: I20210903001839 |
Provider Name | Mary Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912536137 PECOS PAC ID: 2961809868 Enrollment ID: I20210920002443 |
Provider Name | Haley M Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538826177 PECOS PAC ID: 2769873322 Enrollment ID: I20211215002897 |
Provider Name | Leslie Physicians Clemensen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073075164 PECOS PAC ID: 6608101514 Enrollment ID: I20220812003219 |
Provider Name | Apoorva Chawla |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1710114145 PECOS PAC ID: 6406168194 Enrollment ID: I20221102003199 |
Provider Name | Jill Crossgrove-murillo |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1679219984 PECOS PAC ID: 2961882170 Enrollment ID: I20221118002006 |
Provider Name | Elizabeth Anne Barga |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821625252 PECOS PAC ID: 5698196152 Enrollment ID: I20230510000833 |
Provider Name | Rebeca Erupe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407570906 PECOS PAC ID: 4082071832 Enrollment ID: I20230609000230 |
Provider Name | Imad Attar |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942839063 PECOS PAC ID: 8224497938 Enrollment ID: I20230628003478 |
Provider Name | Paul Thomas Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295417236 PECOS PAC ID: 1052774940 Enrollment ID: I20230824003117 |
Provider Name | Donna Nichter Sprunger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437767043 PECOS PAC ID: 5294178224 Enrollment ID: I20240207001063 |
Provider Name | Marianna Shimonova |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003058405 PECOS PAC ID: 5193168581 Enrollment ID: I20240213003441 |
Family Care Of Wauseon Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 W Elm St, Wauseon, OH 43567 Phone: 419-335-4600 Fax: 416-335-4900 | |
Wauseon Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-337-9990 Fax: 419-337-9996 | |
Community Hospitals And Wellness Centers Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 447 N Shoop Ave, Wauseon, OH 43567 Phone: 419-337-7980 Fax: 419-337-8265 | |
Lima-umadaop Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3491 State Route 108, Wauseon, OH 43567 Phone: 419-720-9255 | |
Hagerman Family Physicians, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 Depot St, Wauseon, OH 43567 Phone: 419-335-0351 Fax: 419-335-0397 | |
Advance Urology & Continence Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S Shoop Ave, Suite 101, Wauseon, OH 43567 Phone: 419-335-2500 Fax: 419-335-7500 |