Mercy Medical Partners Northern Region Specialty Care LLC

NPI #1730701749 in Defiance, Ohio

Provider Information

NPI Number: 1730701749
Entity Type: Organization
Organization Name: Mercy Medical Partners Northern Region Specialty Care LLC
Primary Specialty: Surgery
Enumeration Date: May 13, 2020
Last Updated: Aug 26, 2021

Practice Location

Address: 1400 E 2ND ST
City: Defiance
State: Ohio
ZIP Code: 43512-2440
Phone: (888) 696-3541

Authorized Official

Name: CASSIE HAVLIN
Title: MANAGER, PAYER ENROLLMENT
Phone: (513) 952-5210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Orthopaedic Surgery	207X00000X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Urology	208800000X
Hospitalist	208M00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Dermatology	207N00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Allergy & Immunology	207K00000X
Surgery	208600000X	Primary

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