Family Medical Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34003948 Issued in OH

Legal business name

FAMILY MEDICAL CARE CENTER

Practice address

9164 Ruby Ridge St NW
Canal Fulton, OH 44614-8795

Phone

(330) 854-1892

Fax

(330) 776-5557

NPI assigned

Sep 22, 2006

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth J Biros, D.O.NPI 1407819600

Title

Owner/President

Phone

(330) 854-1892

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth J Biros, DO

  • Family Medicine Physician
  • Canal Fulton, OH
  • NPI 1407819600
  Medicare reassignment NPD Authorized official
• Prahladkumar J Agarwal, MD

  • General Practice Physician
  • Akron, OH
  • NPI 1477786820
  NPD (past)
• David E Childs Jr.

  • Skilled Nursing Facility
  • Alliance, OH
  • NPI 1619211646
  NPD (past)
• Benjamin Joel Swisher, M.D.

  • Family Medicine Physician
  • Canton, OH
  • NPI 1518923788
  NPD (past)
• Melinda Sue Miller, N.P.

  • Adult Health Nurse Practitioner
  • Midway Park, NC
  • NPI 1598709453
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1023118932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9164 RUBY RIDGE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148795",
            "telephone_number": "330-854-1892",
            "fax_number": "330-776-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9164 RUBY RIDGE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148795",
            "telephone_number": "330-854-1892",
            "fax_number": "330-776-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "BIROS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "330-854-1892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Echoing Hills Village, Inc. (Echoing Ridge Residential Center)
• Echoing Hills Village, Inc.
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• Echoing Hills Village, Inc.
• Karli Fahrni, PHARMD
• Lori Ferguson
• Tara Fout
• Freedom Wellness Center LLC
• Gaslite Leasing, LLC (Jackson Ridge Rehabilitation and Care)
• Gaslite Villa Convalescent Center, Inc.

• Family Medicine Physician in Canal Fulton, OH
• Providers in Canal Fulton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.