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MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC
NPI 1043972482
Durable Medical Equipment & Medical Supplies - Customized Equipment in Defiance, OH

Active since October 13, 2021CLIA 36D0331199 · Microscopy
1400 E 2ND ST, DEFIANCE, OH 43512(419) 784-1414 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mercy Medical Partners Northern Region Specialty Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC (NPI 1043972482) is a healthcare organization registered as a customized equipment in Defiance, Ohio and active in the NPI registry since October 2021. The organization holds a CLIA Microscopy certificate valid through October 22, 2026 and lists Wilbur Gay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043972482
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameMERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC
Location Address1400 E 2ND STDefiance, OH 43512-2440
Mailing AddressPo Box 631336Cincinnati, OH 45263-1336 · (888) 696-3541 · Fax (513) 952-6002
Phone(419) 784-1414
Organization SubpartNo
Authorized OfficialWilbur GayCfo · (864) 605-3762
Enumeration DateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1043972482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
1400 E 2ND ST, Defiance, OH 43512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0331199

Mercy Medical Partners Northern Region LLC Dba Mercy Defiance Clinic · Defiance, OH
Active · expires Oct 22, 2026
CLIA Number36D0331199
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorTricia Vandehey
Laboratory Phone(419) 783-3238
Laboratory LocationMercy Medical Partners Northern Region LLC Dba Mercy Defiance Clinic1400 E 2nd Street, Defiance, OH 43512
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY FOX M.D.
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 783-3264
DR. HARRY A. DOYLE M.D.
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 784-1414
DR. GARY E OKULEY M.D.
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 784-1414
DR. TRICIA W VANDEHEY M.D.
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 784-1414
DR. PAUL E BROSE M.D.
Internal Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 784-1414
DR. STAVROS R KARATSORIDIS D.O.
Internal Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 784-1414
DR. PRASAD N. POLICHERLA
Psychiatry & Neurology (Neurology)
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 784-1414
DR. JEFFREY A. PRUITT M.D.
Surgery
1400 E 2ND ST
DEFIANCE, OH 43512
Defiance County (419) 784-1414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Medical Partners Northern Region Specialty Care LLC's NPI number?

The NPI number for Mercy Medical Partners Northern Region Specialty Care LLC is 1043972482. It was assigned to this organization in the NPPES registry on October 13, 2021.

Where is Mercy Medical Partners Northern Region Specialty Care LLC located?

Mercy Medical Partners Northern Region Specialty Care LLC is located at 1400 E 2nd St, Defiance, OH 43512. The listed phone number is (419) 784-1414.

What is Mercy Medical Partners Northern Region Specialty Care LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Does Mercy Medical Partners Northern Region Specialty Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0331199) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Medical Partners Northern Region Specialty Care LLC accept?

Health plans from MedMutual list Mercy Medical Partners Northern Region Specialty Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercy Medical Partners Northern Region Specialty Care LLC was last updated on October 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.