NPIMap

Organization Active NPI

Newbury Family Practice Inc

  • Family Medicine Physician
  • Newbury, OH
National Provider Identifier
1033171095
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEWBURY FAMILY PRACTICE INC
Practice address
10780 Kinsman Rd
Newbury, OH 44065-9792
Phone
(440) 564-5656
Fax
(440) 564-5719
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Steven M Takacs, D.O.
Title
President
Phone
(440) 564-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10780 Kinsman Rd
Newbury, OH 44065-9792

Mailing address

10780 Kinsman Rd
PO Box 537
Newbury, OH 44065-9792
Phone (440) 564-5656

Other identifiers 1

IdentifierTypeStateIssuer
0712689 2090759MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1033171095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 KINSMAN RD",
            "address_2": "PO BOX 537",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659792",
            "telephone_number": "440-564-5656",
            "fax_number": "440-564-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 KINSMAN RD",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659792",
            "telephone_number": "440-564-5656",
            "fax_number": "440-564-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURY FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "TAKACS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-564-5656",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712689  2090759",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.