Springboro Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APRN.CNP.020120 Issued in OH

Legal business name

SPRINGBORO FAMILY MEDICINE

Practice address

630 N Main St
Springboro, OH 45066-7519

Phone

(937) 748-4211

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Miss Kelly Guerrant

Title

Credentialing Manager

Phone

(937) 499-8262

Specialties & licenses 1

Addresses

Other names 1

• Premier Health Partners Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1154873727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667519",
            "telephone_number": "937-748-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667519",
            "telephone_number": "937-748-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBORO FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "GUERRANT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "937-499-8262",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.020120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly D Smith, O.D.
• Michelle Smith, MD
• Robert J. Smith, DO
• Erica G Snider-Thammavong, MD
• Sole Proprietorship
• Springboro Family Medicine Inc
• Springboro Medical Arts, Inc
• Springboro Medical Arts, Inc.
• Springboro Pediatrics, Inc.
• Springboro Pediatrics, Inc.

• Primary Care Clinic/Center in Springboro, OH
• Providers in Springboro, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.