Jtdm Family Practice LLC
NPI 1184652539 · Family Medicine Physician · St Marys, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jtdm Family Practice LLC is a Family Medicine Physician organization in St Marys, OH (NPI 1184652539).
Provider details
- NPI number
- 1184652539
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tricia Pohl, Vice President of Finance(419) 394-3335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Nurse163W00000X
Nursing Service Providers
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Frequently asked questions
- What is Jtdm Family Practice LLC's NPI number?
- Jtdm Family Practice LLC's National Provider Identifier (NPI) is 1184652539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jtdm Family Practice LLC?
- Jtdm Family Practice LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jtdm Family Practice LLC located?
- Jtdm Family Practice LLC's practice location on file with NPPES is 200 Saint Clair Ave, St Marys, OH 45885-2400.
- What is Jtdm Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Jtdm Family Practice LLC is (419) 394-3335.
- Does Jtdm Family Practice LLC accept Medicare?
- Jtdm Family Practice LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jtdm Family Practice LLC?
- The authorized official listed on Jtdm Family Practice LLC's NPPES record is Tricia Pohl, Vice President of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jtdm Family Practice LLC's NPI active?
- Yes — Jtdm Family Practice LLC's NPI (1184652539) is active in the NPPES registry as of the last update on 2024-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.