Provider Demographics
NPI:1760484026
Name:ASSENMACHER, JOSEPH A (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
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:STE 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:410-697-6750
Practice Address - Street 1:2751 BAY PARK DR
Practice Address - Street 2:STE 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:419-697-6750
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
OH35078665207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH21-20693OtherUHC
OH000000510322OtherANTHEM
OH04001OtherPARAMOUNT
OH7209223OtherAETNA
OHP00370470OtherRRMC
OH2221189Medicaid
OH21-20693OtherUHC
OH04001OtherPARAMOUNT
OH2221189Medicaid
OH21-20693OtherUHC