TOWPATH TRAIL FAMILY MEDICINE NPI 1053400507

NPI Information

NPI: 1053400507
Provider Name: TOWPATH TRAIL FAMILY MEDICINE

Former Legal Business Name: TIGERTOWN FAMILY PRACTICE INC.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1230 MARKET ST NE
NAVARRE, OH
ZIP 44662
Phone: (330) 879-5983
Get Directions

TOWPATH TRAIL FAMILY MEDICINE is a family medicine in Navarre, 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. TOWPATH TRAIL FAMILY MEDICINE NPI is 1053400507. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tigertown Family Practice Inc..

The provider's business location address is:

1230 MARKET ST NE
NAVARRE, OH
ZIP 44662
Phone: (330) 879-5983
Fax: (330) 879-9527

The provider's authorized official is Gertrude P Cotiaux .
The authorized official title is President and has the following contact phone number (330) 879-5983.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/17/2008.

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	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

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
1	2813754	MEDICAID	OHIO
2	H10979	MEDICARE UPIN
3	TI9339701	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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