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MOUND FAMILY PRACTICE ASSOC INC NPI 1245324193


NPI Information

NPI: 1245324193
Provider Name: MOUND FAMILY PRACTICE ASSOC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1012 E CENTRAL AVE
MIAMISBURG, OH
ZIP 45342
Phone: (937) 866-0741
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MOUND FAMILY PRACTICE ASSOC INC is a family medicine in Miamisburg, 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. MOUND FAMILY PRACTICE ASSOC INC NPI is 1245324193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1012 E CENTRAL AVE
MIAMISBURG, OH
ZIP 45342-556
Phone: (937) 866-0741
Fax: (937) 866-8861

The provider's authorized official is William Brent Ashcraft .
The authorized official title is President and has the following contact phone number (937) 866-0741.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/2/2013.


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 MedicineOHIOYes

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
1000000003291OTHEROHIOANTHEM
2MO9148271MEDICARE ID-TYPE UNSPECIFIEDOHIO
3CF1385OTHEROHIORR MEDICARE
40959342MEDICAIDOHIO
50361500001MEDICARE NSCOHIO
6=========-00OTHEROHIOBUREAU OF WORKERS'COMPENS

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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