PIQUA FAMILY PRACTICE INC NPI 1225046154

NPI Information

  • NPI: 1225046154
  • Provider Name: PIQUA FAMILY PRACTICE INC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 9159 N COUNTY RD 25A
    PIQUA, OH
    ZIP 45356
  • Phone: (937) 773-8221

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NPI Details

PIQUA FAMILY PRACTICE INC is a nurse practitioner in Piqua, OH. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. 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 9/11/2025.

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
1207Q00000XFamily Medicine35046324OHIONo
2207R00000XInternal Medicine35087354OHIONo
3363L00000XNurse PractitionerNP07368OHIONo
4363L00000XNurse PractitionerRN305368OHIOYes

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
10766989MEDICAIDOHIO
285087354OTHERLICENSE JORDAN
335046324OTHERLICENSE LANDES
427752595700OTHERWORKERS COMP LANDES
5E60186OTHERUPIN LANDES
60876146MEDICAIDOHIO
7NP07368OTHERLICENSE MCKEOWN
8000000015687OTHERANTHEM LANDES
9319804D8200OTHERWORKERS 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: 11/21/2025

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