WEST AVENUE FAMILY PRACTICE INC. NPI 1831379643

NPI Information

NPI: 1831379643
Provider Name: WEST AVENUE FAMILY PRACTICE, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
224 WEST AVE
TALLMADGE, OH
ZIP 44278
Phone: (330) 633-8341
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WEST AVENUE FAMILY PRACTICE, INC. is a primary care clinic center in Tallmadge, OH. WEST AVENUE FAMILY PRACTICE, INC. NPI is 1831379643. The provider is registered as an organization entity type.

The provider's business location address is:

224 WEST AVE
TALLMADGE, OH
ZIP 44278-110
Phone: (330) 633-8341
Fax: (330) 633-8462

The provider's authorized official is Thomas J Schmeiser .
The authorized official title is President and has the following contact phone number (330) 633-8341.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 11/8/2007.

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	261QP2300X	Clinic/Center	Primary Care	34006905	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
1	H54289	MEDICARE UPIN
2	2289456	MEDICAID	OHIO
3	4066762	MEDICARE PIN

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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