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FAMILY PRACTICE CENTER WOOSTER INC NPI 1952571937


NPI Information

NPI: 1952571937
Provider Name: FAMILY PRACTICE CENTER WOOSTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D1006906

Address:
128 E MILLTOWN RD
SUITE 205
WOOSTER, OH
ZIP 44691
Phone: (330) 345-2008
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FAMILY PRACTICE CENTER WOOSTER INC is a family medicine in Wooster, 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. FAMILY PRACTICE CENTER WOOSTER INC NPI is 1952571937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

128 E MILLTOWN RD
SUITE 205
WOOSTER, OH
ZIP 44691-109
Phone: (330) 345-2008
Fax: (330) 345-0056

The provider's authorized official is Raymond Gregory Mason .
The authorized official title is President and has the following contact phone number (330) 345-2008.

The CLIA number assigned to this NPI record is 36D1006906 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/6/2008 and was last updated on 5/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35077914MOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1933001MEDICARE PIN
2CK7409OTHERRAILROAD MEDICARE
32211645MEDICAIDOHIO

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: 11/14/2023

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