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

Dr. Tate Roger Church, MD

Individual provider Family Medicine Physician · NPI 1942839220

Dr. Tate Roger Church, MD is a Family Practice in Ottawa, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2020, 6 years ago. Practices with Blanchard Valley Medical Practice LLC, a 72-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1740 N Perry St
Ottawa, OH 45875-1173
Phone: (419) 523-0012
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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 35.147427 (OH)

Record details

NPI number1942839220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Blanchard Valley Medical Practice Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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