Unknown Individual – Surgery Physician, NPI 1457335481
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1908, Glen Springs Drive, Fremont, Sandusky County, Ohio, 43420, United States
FREMONT, OH 434203244
Phone: (419) 332-4778
Fax: (419) 332-2899
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43420)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 45385 | Removal of polyps or growths of large bowel using an endoscope | 40 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Family Practice | MI |
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