PUTNAM COUNTY PRIMARY CARE LLC
NPI 1588760383
Family Medicine in Ottawa, OH

NPI Status: Active since September 16, 2006

Contact Information

1740 N PERRY ST
SUITE A
OTTAWA, OH
ZIP 45875
Phone: (419) 523-0012
Fax: (419) 523-3416

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  • Organization
  • Family Medicine

About PUTNAM COUNTY PRIMARY CARE LLC

This page provides the complete NPI Profile along with additional information for Putnam County Primary Care Llc, a primary care provider established in Ottawa, Ohio operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1588760383 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Putnam County Primary Care Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jeffrey S Eiden Md (Owner)

NPI
1588760383
Provider Name
PUTNAM COUNTY PRIMARY CARE LLC
Entity Type
Organization
Location Address
1740 N PERRY ST SUITE A OTTAWA, OH 45875
Location Phone
(419) 523-0012
Location Fax
(419) 523-3416
Mailing Address
PO BOX 450718 WESTLAKE, OH 44145
Mailing Phone
(800) 514-4390
Mailing Fax
(419) 523-3416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2006
Last Update Date
07-01-2008
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A primary care provider (PCP) like Putnam County Primary Care Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY S EIDEN MD

Authorized Official Title
OWNER
Authorized Official Phone
(419) 523-0012

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2502401MEDICAID (05)OH 
9347931MEDICARE PIN (08)OH 
5597270001OTHER (01)OHDME
DC4690OTHER (01)OHRAILROAD CARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588760383
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681460316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 4 + 6 + 0 + 3 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1588760383 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538118559 JEFFREY S EIDEN MD
Individual
Family Medicine1740 N PERRY ST SUITE A
OTTAWA, OH 45875
(419) 523-0012
1326098757 KRISTINE RENEE KAUFMAN CNP
Individual
Nurse Practitioner (Family)1740 N PERRY ST SUITE A
OTTAWA, OH 45875
(419) 523-0012
1316317498 PAIGE FREY CNP
Individual
Nurse Practitioner (Family)1740 N PERRY ST
OTTAWA, OH 45875
(419) 523-0012
1942839220DR. TATE ROGER CHURCH MD
Individual
Family Medicine1740 N PERRY ST
OTTAWA, OH 45875
(419) 523-0012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588760383, enumerated in the NPI registry as an "organization" on September 16, 2006

The provider is located at 1740 N Perry St Suite A Ottawa, Oh 45875 and the phone number is (419) 523-0012

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.