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DR. JONATHAN MARION DETRICK M.D.
NPI 1861481202
Obstetrics & Gynecology - Gynecology in Maumee, OH

Active since October 18, 2005
5757 MONCLOVA RD, SUITE 14, MAUMEE, OH 43537(419) 893-3316(419) 893-2320 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Marion Detrick M.d. NPPES

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

DR. JONATHAN MARION DETRICK M.D. (NPI 1861481202) is an individual gynecology provider in Maumee, Ohio, licensed in Ohio (35043922) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1861481202
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. JONATHAN MARION DETRICKCredential: M.D.
Location Address5757 MONCLOVA RD, SUITE 14Maumee, OH 43537-1863
Mailing Address5757 Monclova Rd, Suite 14Maumee, OH 43537-1863 · (419) 893-3316 · Fax (419) 893-2320
Phone(419) 893-3316
Fax(419) 893-2320
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateJune 11, 2008
✔ NPI 1861481202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in OH · 35043922
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
5757 MONCLOVA RD, Maumee, OH 43537
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Other Identifiers 4

OtherCB3101OH · Railroad Medicare
Medicare UPINA80779OH
Medicaid0513331OH
Medicare ID-Type Unspecified0542071OH

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.

MEGAN PALMER NP-C
Nurse Practitioner (Family)
5757 MONCLOVA RD, SUITE 10
MAUMEE, OH 43537
Lucas County (419) 887-0803
MR. MATTHEW SCHULTZ PT
Physical Therapist
5757 MONCLOVA RD, SUITE 18
MAUMEE, OH 43537
Lucas County (419) 893-1222
SHALINI SINGH D.O.
Family Medicine
5757 MONCLOVA RD, SUITE 11
MAUMEE, OH 43537
Lucas County (419) 887-8780
MR. JAMES BRUCE KELLY M.ED.
Psychologist
5757 MONCLOVA RD, SUITE 16C
MAUMEE, OH 43537
Lucas County (419) 893-0300
NANCY KEETON CNP
Nurse Practitioner
5757 MONCLOVA RD, SUITE15
MAUMEE, OH 43537
Lucas County (419) 887-5833
PROMEDICA GENITO-URINARY SURGEONS LLC
Urology
5757 MONCLOVA RD, SUITE 6
MAUMEE, OH 43537
Lucas County (419) 897-7751
JOHN R. WEHRMEISTER MD
Internal Medicine
5757 MONCLOVA RD, SUITE 4
MAUMEE, OH 43537
Lucas County (419) 893-4313
RUSSELL T THALER DMD,MS
Dentist (Periodontics)
5757 MONCLOVA RD, SUITE 12
MAUMEE, OH 43537
Lucas County (419) 893-0253

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 Jonathan Detrick's NPI number?

The NPI number for Jonathan Detrick is 1861481202. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Jonathan Detrick located?

Jonathan Detrick practices at 5757 Monclova Rd Suite 14, Maumee, OH 43537. The listed phone number is (419) 893-3316.

What is Jonathan Detrick's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Jonathan Detrick was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.