Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Morenci Medical Assoc, PC

Organization Family Medicine Physician · NPI 1962690735

Morenci Medical Assoc, PC provides Family Medicine Physician services in Wauseon, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

137 S Fulton St
Wauseon, OH 43567-1351 Not confirmed with CMS for 19 years — call before visiting
Phone: (419) 335-2811
Fax: (419) 335-3388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-06-8087S (OH)

Record details

NPI number1962690735
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMorenci Medical Assoc, PC
Authorized official Shivaprasas Shetty — President · (419) 335-2811
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2007
Mailing address137 S Fulton St, Wauseon, OH 43567-1351

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