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Jtdm Family Practice LLC

Family Medicine Physician in St Marys, OH · enumerated 2006 · authorized official Tricia Pohl, Vice President of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184652539

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Registry record

Entity type Organization (Type 2)
Legal business name Jtdm Family Practice LLC
Practice address 200 Saint Clair Ave, St Marys, OH, 45885
Fax (419) 394-8485
Enumeration date Jun 28, 2006
Last updated in NPPES Feb 6, 2024

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Tricia Pohl
Title Vice President of Finance

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-06. Verify at npiregistry.cms.hhs.gov.
Where is Jtdm Family Practice LLC located?
The practice location on file with NPPES is in St Marys, OH.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-06.