Provider Demographics
NPI:1154323384
Name:ASSENMACHER, DENNIS R (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:R
Last Name:ASSENMACHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 BAY PARK DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-4921
Mailing Address - Country:US
Mailing Address - Phone:419-690-8811
Mailing Address - Fax:419-697-5760
Practice Address - Street 1:2751 BAY PARK DR
Practice Address - Street 2:SUITE 201
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-4921
Practice Address - Country:US
Practice Address - Phone:419-690-8811
Practice Address - Fax:419-697-5760
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35039245207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00370476OtherRRMC
OH000000510600OtherANTHEM
OH48-0300OtherUHC
OH00204OtherPARAMOUNT
OH4074089OtherAETNA
OH0305299Medicaid
OH$$$$$$$$$-00OtherBWC
OH4074089OtherAETNA
OH$$$$$$$$$-00OtherBWC
OHAS0424514Medicare PIN