FALLEN TIMBERS FAMILY PHYSICIANS
NPI 1760463996
Family Medicine in Maumee, OH

NPI Status: Active since November 05, 2005

Contact Information

5705 MONCLOVA RD
MAUMEE, OH
ZIP 43537
Phone: (419) 893-3321
Fax: (419) 897-1316

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  • Organization
  • Family Medicine
  • CLIA Number: 36D2116860
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-02-2026

About FALLEN TIMBERS FAMILY PHYSICIANS

This page provides the complete NPI Profile along with additional information for Fallen Timbers Family Physicians, a primary care provider established in Maumee, Ohio operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1760463996 assigned on November 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Donna F Hostetler Mba (Practice Manager)

NPI
1760463996
Provider Name
FALLEN TIMBERS FAMILY PHYSICIANS
Entity Type
Organization
Location Address
5705 MONCLOVA RD MAUMEE, OH 43537
Location Phone
(419) 893-3321
Location Fax
(419) 897-1316
Mailing Address
5705 MONCLOVA RD MAUMEE, OH 43537
Mailing Phone
(419) 893-3321
Mailing Fax
(419) 897-1316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2005
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Fallen Timbers Family Physicians 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MS. DONNA F HOSTETLER MBA

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(419) 893-3321

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2116860
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
August 03, 2024
Certificate Expiration Date
August 02, 2026
Laboratory Director
JOHN O. RANKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fallen Timbers Family Physicians to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FALLEN TIMBERS FAMILY PHYSICIANS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760463996, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 8 + 6 + 6 + 9 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760463996.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Colon & Rectal Surgery
5705 MONCLOVA RD, SUITE 203
MAUMEE, OH 43537
Urology
5705 MONCLOVA RD, SUITE 202
MAUMEE, OH 43537
Internal Medicine (Cardiovascular Disease)
5705 MONCLOVA RD, SUITE 204
MAUMEE, OH 43537
Family Medicine
5705 MONCLOVA RD
MAUMEE, OH 43537
Physician Assistant
5705 MONCLOVA RD
MAUMEE, OH 43537
Urology
5705 MONCLOVA RD, SUITE 202
MAUMEE, OH 43537
Internal Medicine (Cardiovascular Disease)
5705 MONCLOVA RD, SUITE 204
MAUMEE, OH 43537
Surgery
5705 MONCLOVA RD
MAUMEE, OH 43537
Podiatrist (Foot & Ankle Surgery)
5705 MONCLOVA RD, SUITE 202
MAUMEE, OH 43537
Family Medicine
5705 MONCLOVA RD
MAUMEE, OH 43537
Internal Medicine (Cardiovascular Disease)
5705 MONCLOVA RD, 201
MAUMEE, OH 43537
Surgery (Vascular Surgery)
5705 MONCLOVA RD, SUITE 205
MAUMEE, OH 43537
Neurological Surgery
5705 MONCLOVA RD, SUITE 204
MAUMEE, OH 43537
Colon & Rectal Surgery
5705 MONCLOVA RD, SUITE 203
MAUMEE, OH 43537
Family Medicine
5705 MONCLOVA RD
MAUMEE, OH 43537
Internal Medicine
5705 MONCLOVA RD
MAUMEE, OH 43537
Colon & Rectal Surgery
5705 MONCLOVA RD, SUITE 203
MAUMEE, OH 43537
Family Medicine
5705 MONCLOVA RD, SUITE 100
MAUMEE, OH 43537
Internal Medicine (Cardiovascular Disease)
5705 MONCLOVA RD, SUITE 201
MAUMEE, OH 43537
Family Medicine
5705 MONCLOVA RD
MAUMEE, OH 43537

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760463996, enumerated as an "organization" on November 05, 2005.

The provider is located at 5705 MONCLOVA RD MAUMEE, OH 43537 and the phone number is (419) 893-3321.

Family Medicine with taxonomy code 207Q00000X.