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MONTGOMERY FAMILY PRACTICE INC NPI 1144390345


NPI Information

NPI: 1144390345
Provider Name: MONTGOMERY FAMILY PRACTICE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10550 MONTGOMERY RD STE 11
MONTGOMERY, OH
ZIP 45242
Phone: (513) 791-1201
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MONTGOMERY FAMILY PRACTICE, INC is a family medicine in Montgomery, 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. MONTGOMERY FAMILY PRACTICE, INC NPI is 1144390345. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10550 MONTGOMERY RD STE 11
MONTGOMERY, OH
ZIP 45242-495
Phone: (513) 791-1201
Fax: (513) 791-1231

The provider's authorized official is Ginger S Kubala .
The authorized official title is President Md and has the following contact phone number (513) 791-1201.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 1/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35057045OHIONo
2207Q00000XFamily Medicine35067638OHIONo
3207Q00000XFamily Medicine350728718OHIOYes

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
12274891MEDICAIDOHIO

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

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