FAMILY PRACTICE CENTER OF WADSWORTH INC NPI 1093840993

NPI Information

NPI: 1093840993
Provider Name: FAMILY PRACTICE CENTER OF WADSWORTH INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0879839

Address:
251 LEATHERMAN RD
WADSWORTH, OH
ZIP 44281
Phone: (330) 334-6229
Get Directions

FAMILY PRACTICE CENTER OF WADSWORTH INC is a family medicine in Wadsworth, 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 OF WADSWORTH INC NPI is 1093840993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

251 LEATHERMAN RD
WADSWORTH, OH
ZIP 44281-236
Phone: (330) 334-6229
Fax: (330) 334-6110

The provider's authorized official is Patricia Walker .
The authorized official title is Practice Administrator and has the following contact phone number (330) 334-6229.

The CLIA number assigned to this NPI record is 36D0879839 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/7/2016.

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		35050673F	OHIO	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	Other Provider Identifier Issuer
1	F10583743	MEDICARE ID-TYPE UNSPECIFIED	OHIO	MATTHEW P FINNERAN MD
2	0557848	MEDICAID	OHIO
3	2164250	OTHER	OHIO	MEDICAID FPCW
4	9265331	OTHER		MEDICARE GROUP PTAN-FPCW
5	3107668	MEDICAID	OHIO
6	0102518	OTHER	OHIO	JOSHUA D. RAINES, DO MEDICAID ID
7	H206900	OTHER	OHIO	JOSHUA D. RAINES, DO MEDICARE PTAN
8	H437901	OTHER	OHIO	BRINKMAN A. MURRAY, DO MEDICARE PTAN
9	H403930	OTHER		CYNTHIA MAZEY, CNP PTAN
10	3000344	MEDICAID	OHIO
11	A16460	OTHER	OHIO	MATTHEW P. FINNERAN, MD MEDICARE UPIN
12	4281881	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: 4/28/2024

NPI Synchronization or Removal

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