WARREN FAMILY MEDICAL, INC. (NPI# 1013106467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013106467 |
Entity Type | Organization |
Organization Name | WARREN FAMILY MEDICAL, INC. |
Practice Address |
8700 E Market St Suite 4 Warren OH 44484-2340 |
Practice Telephone | 3308567702 |
Mailing Telephone | 3308567702 |
Enumeration Date | 2007-10-22 |
Last Update Date | 2011-01-12 |
Authorized Official Name | DR. FAREEDAH ZAKIYYAH GOODWIN (PRESIDENT) |
Authorized Official Telephone | 3308567702 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
85291 | OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2985328 | 05 |
Street Address |
8700 E MARKET ST SUITE 4 |
City | WARREN |
State | OH |
Zip Code | 44484-2340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932575735 | Bair Family Practice LLC | Family Medicine | 8700 E Market St, Suite 4, Warren, OH 44484-2340 | 2015-08-15 |
1346597523 | Jacob Alexander Bair | Family Medicine | 8700 E Market St, Suite 4, Warren, OH 44484-2340 | 2012-08-07 |
1114109436 | Audiology and Hearing Associates | Clinic/Center | 8700 E Market St, Suite 2, Warren, OH 44484-2340 | 2007-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
Find all providers in zip 44484 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1194292912 | Occupational Health Centers of Ohio, Pa Co | Clinic/Center | 7010 Spring Meadows Dr W Ste 101, Holland, OH 43528-8137 | 2018-10-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.