Active NPI 1760645170 Individual Practitioner Male Practitioner

Dr. Timothy James Adamowicz , DO

Internal Medicine • Sandusky, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Adamowicz, DO is a certified Internal Medicine practicing in Sandusky, OH. With approximately 18 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2008, Dr. Adamowicz delivers high-quality medical care to the local community at 701 TYLER ST.

Dr. Adamowicz is affiliated with Northern Ohio Medical Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Tyler St

Sandusky, OH 448703321

Telephone 4195577480

Fax 4195577533

Associated Practice Facility / Clinic

🏢 University Hospitals Medical Group, Inc. Facility NPI 1922330703

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sandusky, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -3.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Sandusky, OH (5516 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Adamowicz (18 Years) 18 Yrs

Sandusky Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	557	246	$240.00	$94.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	35	$250.00	$116.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$400.00	$178.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	26	$331.89	$141.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$250.00	$128.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	603	306	$240.00	$94.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	58	$240.00	$121.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	47	$250.00	$128.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$400.00	$174.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$330.00	$140.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	14	$250.00	$117.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	288	$240.00	$94.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	74	$240.00	$123.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	72	72	$400.00	$180.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	53	$250.00	$129.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	18	$197.50	$99.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$330.00	$136.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$400.00	$203.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$310.00	$124.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	186	$238.71	$97.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	114	$239.64	$126.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$400.00	$183.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	49	$250.00	$131.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$400.00	$212.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	28	$330.00	$171.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	32	$190.00	$101.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$330.00	$134.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)	7,800	17	$27.87	$3.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	378	16	$0.90	$0.12
J2405 Injection, ondansetron hydrochloride, per 1 mg	312	14	$1.29	$0.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	133	$224.04	$77.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	145	$293.44	$104.96
96375 Injection of additional new drug or substance into vein	123	21	$219.00	$15.18
96413 Infusion of chemotherapy into a vein up to 1 hour	91	35	$615.00	$127.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	39	$152.00	$13.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$452.50	$203.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$463.92	$168.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	23	14	$26.20	$2.19
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	18	12	$404.00	$65.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$190.00	$103.85
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$217.50	$72.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$460.13	$201.32
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$146.64	$51.18
96523 Irrigation of implanted venous access drug delivery device	13	12	$229.00	$25.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$250.00	$137.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)	29,560	26	$27.87	$3.81
J1439 Injection, ferric carboxymaltose, 1 mg	20,250	16	$4.98	$1.07
J9271 Injection, pembrolizumab, 1 mg	11,800	12	$227.99	$48.52
J9263 Injection, oxaliplatin, 0.5 mg	8,105	12	$2.43	$0.15
J1453 Injection, fosaprepitant, 1 mg	6,150	12	$7.78	$1.99
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,974	62	$1.06	$0.12
J2405 Injection, ondansetron hydrochloride, per 1 mg	1,776	65	$1.29	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	675	243	$349.00	$105.17
J9045 Injection, carboplatin, 50 mg	530	25	$60.51	$2.89
96375 Injection of additional new drug or substance into vein	520	80	$226.00	$15.72
96413 Infusion of chemotherapy into a vein up to 1 hour	379	96	$634.00	$131.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	122	$349.00	$77.59
J9190 Injection, fluorouracil, 500 mg	273	15	$14.24	$1.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	257	79	$157.00	$15.99
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	215	61	$160.00	$156.80
J0640 Injection, leucovorin calcium, per 50 mg	200	14	$10.30	$3.07
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	105	26	$26.45	$1.80
96523 Irrigation of implanted venous access drug delivery device	104	55	$236.00	$25.06
J3490 Unclassified drugs	104	23	$2.23	$0.39
96417 Administration of additional new drug or substance into vein, 1 hour or less	95	30	$558.00	$62.78
96415 Administration of chemotherapy into vein, each additional hour	80	33	$553.00	$29.02
99213 Established patient office or other outpatient visit, typically 15 minutes	79	72	$226.00	$72.11
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	61	12	$557.00	$74.72
96361 Hydration infusion into a vein	56	25	$358.00	$12.84
J1200 Injection, diphenhydramine hcl, up to 50 mg	56	22	$6.47	$0.76
J7030 Infusion, normal saline solution , 1000 cc	55	25	$15.59	$2.44
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	52	15	$382.00	$29.68
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	49	31	$416.00	$67.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$715.00	$202.43
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$226.00	$50.65
J3489 Injection, zoledronic acid, 1 mg	48	11	$255.30	$11.61
96409 Infusion of chemotherapy into a vein using push technique	45	11	$538.00	$101.61
96411 Administration of additional new drug or substance into vein using push technique	37	16	$524.00	$55.15
J2505 Injection, pegfilgrastim, 6 mg	27	16	$22432.85	$4429.03
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	26	19	$258.00	$36.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$1016.00	$200.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	22	$61.00	$21.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$818.91	$167.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	12	$518.00	$29.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$491.00	$135.31
96360 Infusion into a vein for hydration, 31-60 minutes	17	14	$372.00	$35.88
81002 Urinalysis, manual test	14	14	$24.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$548.00	$128.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1439 Injection, ferric carboxymaltose, 1 mg	19,500	17	$4.87	$1.05
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)	18,800	21	$27.87	$3.77
J9271 Injection, pembrolizumab, 1 mg	10,200	12	$222.29	$47.84
J1453 Injection, fosaprepitant, 1 mg	9,000	11	$7.69	$2.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,035	53	$0.95	$0.12
J2405 Injection, ondansetron hydrochloride, per 1 mg	1,513	57	$1.29	$0.09
J9190 Injection, fluorouracil, 500 mg	626	11	$15.66	$1.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	606	202	$339.00	$103.28
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	537	103	$160.00	$156.80
96375 Injection of additional new drug or substance into vein	499	65	$233.03	$16.90
96413 Infusion of chemotherapy into a vein up to 1 hour	349	80	$654.00	$130.77
J9045 Injection, carboplatin, 50 mg	322	11	$53.80	$3.20
J9310 Injection, rituximab, 100 mg	220	15	$4192.92	$891.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	88	$339.00	$76.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	187	58	$157.05	$19.38
96415 Administration of chemotherapy into vein, each additional hour	114	30	$570.00	$29.21
96361 Hydration infusion into a vein	90	26	$358.00	$12.97
J7030 Infusion, normal saline solution , 1000 cc	89	29	$12.86	$2.35
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	88	15	$557.19	$74.51
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	82	18	$27.13	$1.94
99213 Established patient office or other outpatient visit, typically 15 minutes	82	74	$219.00	$69.79
96523 Irrigation of implanted venous access drug delivery device	75	43	$236.09	$25.88
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	70	20	$394.17	$29.53
96417 Administration of additional new drug or substance into vein, 1 hour or less	63	26	$575.00	$63.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	62	62	$715.00	$200.40
99213 Established patient office or other outpatient visit, typically 15 minutes	55	51	$219.00	$50.25
96411 Administration of additional new drug or substance into vein using push technique	53	14	$540.00	$54.60
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	46	19	$258.00	$43.18
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	42	27	$429.00	$67.71
J1200 Injection, diphenhydramine hcl, up to 50 mg	41	12	$10.90	$0.58
96409 Infusion of chemotherapy into a vein using push technique	31	14	$555.00	$101.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$813.90	$165.50
96360 Infusion into a vein for hydration, 31-60 minutes	29	16	$372.00	$43.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$986.00	$198.82
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	18	$50.89	$20.40
J2505 Injection, pegfilgrastim, 6 mg	17	11	$22309.57	$4511.41
81002 Urinalysis, manual test	14	12	$24.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)	22,600	27	$27.73	$3.84
J9263 Injection, oxaliplatin, 0.5 mg	16,982	11	$4.10	$0.27
J1756 Injection, iron sucrose, 1 mg	16,100	24	$1.77	$0.25
J9999 Not otherwise classified, antineoplastic drugs	4,680	12	$344.93	$76.34
J9041 Injection, bortezomib, 0.1 mg	3,115	11	$220.63	$45.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,630	68	$1.13	$0.12
J2405 Injection, ondansetron hydrochloride, per 1 mg	1,916	62	$0.88	$0.09
J9190 Injection, fluorouracil, 500 mg	847	15	$15.98	$1.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	711	200	$339.00	$102.90
96375 Injection of additional new drug or substance into vein	688	82	$240.00	$20.74
J9045 Injection, carboplatin, 50 mg	600	25	$57.59	$3.46
J0640 Injection, leucovorin calcium, per 50 mg	509	14	$9.05	$3.02
96413 Infusion of chemotherapy into a vein up to 1 hour	423	88	$674.00	$126.82
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	335	78	$160.00	$156.80
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	317	11	$43.23	$5.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	63	$339.00	$76.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	178	62	$162.00	$23.86
96415 Administration of chemotherapy into vein, each additional hour	125	23	$588.00	$26.55
J3490 Unclassified drugs	102	16	$2.13	$0.39
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	97	17	$574.00	$68.84
96523 Irrigation of implanted venous access drug delivery device	94	49	$243.00	$22.87
99213 Established patient office or other outpatient visit, typically 15 minutes	88	78	$219.00	$70.02
J1200 Injection, diphenhydramine hcl, up to 50 mg	87	26	$10.90	$0.63
99213 Established patient office or other outpatient visit, typically 15 minutes	82	69	$219.00	$49.81
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l	79	14	$1077.48	$152.82
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	79	31	$266.00	$53.19
96417 Administration of additional new drug or substance into vein, 1 hour or less	78	28	$593.00	$60.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	68	68	$715.00	$199.20
J3489 Injection, zoledronic acid, 1 mg	64	12	$265.51	$12.85
J7030 Infusion, normal saline solution , 1000 cc	54	27	$14.08	$2.03
96361 Hydration infusion into a vein	49	20	$369.00	$14.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	42	$957.00	$197.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	17	$27.25	$2.86
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	40	23	$442.00	$63.97
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	36	11	$406.00	$28.81
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	32	13	$534.00	$30.44
96409 Infusion of chemotherapy into a vein using push technique	31	13	$572.00	$102.38
96411 Administration of additional new drug or substance into vein using push technique	28	12	$557.00	$57.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	18	$506.00	$101.82
J2505 Injection, pegfilgrastim, 6 mg	21	11	$20882.47	$4185.00
81002 Urinalysis, manual test	20	15	$24.00	$3.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$759.81	$165.16
96360 Infusion into a vein for hydration, 31-60 minutes	14	13	$383.00	$53.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$351.00	$70.41
G0008 Administration of influenza virus vaccine	14	13	$32.43	$23.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$477.00	$138.90

Medical Specialties & State Licenses

CMS Verified: 2020-04-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34.010910

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License PA OT012736

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0087383 (OH)

Hospital & Practice Group Affiliations

Northern Ohio Medical Specialists, Llc

703 Tyler St, Sandusky, OH 448703392

Phone: 4196258722

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Deana Kehres , MSN, CNS, AOCNS

Clinical Nurse Specialist - Oncology

NPI 1013154376

Master of Science in Nursing, Clinical Nurse Specialist, AOCNS

Dr. Amy Reese , MD

Internal Medicine - Hematology & Oncology

NPI 1497727812

Doctor of Medicine (M.D.)

Mary Demboske , CNP

Nurse Practitioner - Gerontology

NPI 1699346031

Certified Nurse Practitioner

Dr. Norleena Poynter , MD

Radiology - Radiation Oncology

NPI 1750549119

Doctor of Medicine (M.D.)

Dr. James Fanning , MD

Internal Medicine - Hematology & Oncology

NPI 1861443897

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 07, 2020

Registered at 701 TYLER ST, SANDUSKY, OH 448703321 (Tel: 4195577480)

📍

Updated Business Mailing Address April 07, 2020

Registered at PO BOX 378, SANDUSKY, OH 448710378 (Tel: 4196266161)

✅

NPI Profile Active August 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 09, 2013

Registered at 417 QUARRY LAKES DR, SANDUSKY, OH 448708635 (Tel: 4196269090)

📍

Updated Business Mailing Address August 09, 2013

Registered at 401 W SHORELINE DR, APT 138, SANDUSKY, OH 448700900

👤

Provider Name / Credentials Updated August 09, 2013

Recorded as TIMOTHY ADAMOWICZ, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2013

Internal Medicine (License #OT012736 in PA)

🟢

Initial NPI Registration & Enumeration July 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760645170

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2008

Last Update: April 07, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 378

Sandusky, OH 448710378

Phone: 4196266161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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