JONATHAN M. DETRICK M.D. – NPI #1861481202
Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
JONATHAN DETRICK is a physician located in MAUMEE, OH. NPPES has assigned the NPI number 1861481202 to JONATHAN DETRICK on October 18, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology
The NPI profile was previously updated about 18 years ago on Jun 11, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN DETRICK below.
NPI Profile for
JONATHAN M. DETRICK
(more than 20 years ago)
SUITE 14
MAUMEE, OH 43537-1863 Phone: (419) 893-3316 Fax: (419) 893-2320
Identifiers for JONATHAN DETRICK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | RAILROAD MEDICARE | OH | CB3101 |
| MEDICAID | OH | 0513331 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VG0400X - Obstetrics & Gynecology / Gynecology (Primary) |
OH | 35043922 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.