PROSPECT FAMILY MEDICINE, INC. (NPI# 1487895967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487895967 |
| Entity Type | Organization |
| Organization Name | PROSPECT FAMILY MEDICINE, INC. |
| Practice Address |
102 Water Street Prospect OH 43342 |
| Mailing Address |
102 E Water Street Post Office Box 203 Prospect OH 43342-0203 |
| Practice Telephone | 7404942624 |
| Practice Fax Number | 7404949013 |
| Mailing Telephone | 7404942624 |
| Mailing Fax Number | 7404949013 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MR. MARK JOHN PIACENTINI (PRESIDENT) |
| Authorized Official Telephone | 7404942624 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
35054820P | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0669174 | 05 |
| Street Address |
102 WATER STREET |
| City | PROSPECT |
| State | OH |
| Zip Code | 43342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457584880 | Battle Run Fire District | Ambulance | 209 Battle Street, Prospect, OH 43342 | 2009-09-02 |
| 1740354042 | Nickal Inc | Pharmacy | 171 S. Main St., Prospect, OH 43342 | 2006-11-20 |
| 1568478626 | Mark John Piacentini | Legal Medicine | 102 E Water St, Prospect, OH 43342 | 2006-07-31 |
| 1093745861 | Virginia Chetverikov | Optometrist | 100 East Water St., Prospect, OH 43342 | 2006-07-04 |
| 1386084804 | Lindsay Seitter | Nurse Practitioner | 102 E Water St, Prospect, OH 43342 | 2013-06-28 |
| 1073687364 | Timmy Jon Sheehan | Pharmacist | 171 S Main St, Prospect, OH 43342 | 2006-11-20 |
| 1881852804 | Prospect Vision Care Inc | Optometrist | 100 E Water St, Prospect, OH 43342-0034 | 2008-05-27 |
| 1114551389 | Ashleigh Lauren Rovtar | Home Health Aide | 324 S Main St, Prospect, OH 43342-9304 | 2020-02-26 |
| 1679893986 | Martha Renae Stafford | Licensed Practical Nurse | 4714 Larue Prospect Rd S, Prospect, OH 43342-9543 | 2010-06-09 |
| 1912472812 | Michael Kapraly | Pharmacist | 171 S Main St, Prospect, OH 43342-9551 | 2018-10-06 |
| Find all providers in zip 43342 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477718625 | Town Family Doctor, Pllc | Clinic/Center | 9501 Norton Commons Blvd, Unit B, Prospect, KY 40059-7522 | 2008-07-26 |
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| 1477175768 | Virtue Wellness, LLC | Clinic/Center | 7660 Silver Fox Dr, Columbus, OH 43235-1835 | 2020-05-11 |
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1750926317 | Neuroradiance Integrative Health Initiative, Ltd | Clinic/Center | 110 Polaris Pkwy Ste 120, Westerville, OH 43082-8028 | 2019-11-07 |
| 1033754569 | Integrative Medicine & Virtualcare Plus LLC | Clinic/Center | 5212a Kings Mills Rd # 529, Mason, OH 45040-2319 | 2019-11-07 |
| 1912558669 | Careatc | Clinic/Center | 132 Artino St Ste 14, Oberlin, OH 44074-1206 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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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.