FAMILY MEDICINE & ADULT CARE LLC (NPI# 1801377833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801377833 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE & ADULT CARE LLC |
| Practice Address |
2330 E High St Springfield OH 45505-1371 |
| Mailing Address |
2631 Wyndham Dr Beavercreek OH 45431-8539 |
| Practice Telephone | 9375059501 |
| Practice Fax Number | 9375056172 |
| Mailing Telephone | 6147473220 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MTANIOUS MAKHOUL (PRESIDENT) |
| Authorized Official Telephone | 6147473220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2330 E HIGH ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427049568 | Gary J. Lau | Ophthalmology | 2330 E High St, Springfield, OH 45505-1371 | 2005-10-28 |
| 1477077428 | Meghann Elise Thacker | Nurse Practitioner | 2330 E High St, Springfield, OH 45505-1371 | 2017-08-01 |
| 1588083547 | Rebecca Lynne Chait | Ophthalmology | 2330 E High St, Springfield, OH 45505 | 2014-04-07 |
| 1093946659 | Kenneth L. Reed, D.o., LLC | Internal Medicine | 2330 E High St, Suite B, Springfield, OH 45505-1371 | 2009-07-30 |
| 1639331358 | Scott Alan Storck | Ophthalmology | 2330 E High St, Springfield, OH 45505-1371 | 2008-06-25 |
| 1366623662 | John W Dobson Md Inc | Orthopaedic Surgery | 2330 E High St, Springfield, OH 45505-1371 | 2007-11-15 |
| 1992878250 | Goes Physicians Inc | Ophthalmology | 2330 E High St, Springfield, OH 45505-1371 | 2006-11-16 |
| 1124019187 | Larry A. Fish | Ophthalmology | 2330 E High St, Springfield, OH 45505-1371 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
| 1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
| 1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
| 1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
| 1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
| 1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
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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.