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ADVANCED FAMILY MEDICINE LLC NPI 1851891279


NPI Information

NPI: 1851891279
Provider Name: ADVANCED FAMILY MEDICINE LLC

Doing Business As: ADVANCED FAMILY MEDICINE

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
4160 BROADWAY
GROVE CITY, OH
ZIP 43123
Phone: (614) 875-0079
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ADVANCED FAMILY MEDICINE LLC is an adult medicine family medicine in Grove City, OH. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ADVANCED FAMILY MEDICINE LLC NPI is 1851891279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Family Medicine.

The provider's business location address is:

4160 BROADWAY
GROVE CITY, OH
ZIP 43123-024
Phone: (614) 875-0079

The provider's authorized official is James Cameron Johnson .
The authorized official title is D.o. and has the following contact phone number (614) 875-0079.

The enumeration date for this NPI number is 2/13/2018 and was last updated on 1/27/2021.


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
1363LA2200XNurse PractitionerAdult HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3207QA0401XFamily MedicineAddiction MedicineNo
4207QA0505XFamily MedicineAdult MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.