PIQUA FAMILY PRACTICE INC NPI 1225046154

NPI Information

NPI: 1225046154
Provider Name: PIQUA FAMILY PRACTICE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9159 N COUNTY RD 25A
PIQUA, OH
ZIP 45356
Phone: (937) 773-8221
Get Directions

PIQUA FAMILY PRACTICE INC is a family medicine in Piqua, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PIQUA FAMILY PRACTICE INC NPI is 1225046154. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9159 N COUNTY RD 25A
PIQUA, OH
ZIP 45356
Phone: (937) 773-8221
Fax: (937) 773-5117

The provider's authorized official is Robert Charles Landes .
The authorized official title is Officer and has the following contact phone number (937) 773-8221.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	35046324	OHIO	Yes
2	207R00000X	Internal Medicine	35087354	OHIO	X
3	363L00000X	Nurse Practitioner	NP07368	OHIO	X
4	363L00000X	Nurse Practitioner	RN305368	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0766989	MEDICAID	OHIO
2	85087354	OTHER		LICENSE JORDAN
3	35046324	OTHER		LICENSE LANDES
4	27752595700	OTHER		WORKERS COMP LANDES
5	E60186	OTHER		UPIN LANDES
6	0876146	MEDICAID	OHIO
7	NP07368	OTHER		LICENSE MCKEOWN
8	000000015687	OTHER		ANTHEM LANDES
9	319804D8200	OTHER		WORKERS COMP JORDAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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