Organization Active NPI

London Family Medicine, Inc.

  • Family Medicine Physician
  • London, OH
National Provider Identifier
1174582530
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LONDON FAMILY MEDICINE, INC.
Practice address
55 Park Ave
Suite 230
London, OH 43140-1121
Phone
(740) 845-7600
Fax
(740) 845-7676
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Steven G Richardson, MD
Title
Owner
Phone
(740) 845-7600

Specialties & licenses 1

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

Addresses

Primary practice location

55 Park Ave
Suite 230
London, OH 43140-1121

Mailing address

1550 S 70TH St Ste 202
PO Box 67250
Lincoln, NE 68506-1576
Phone (402) 328-8833

Other identifiers 2

IdentifierTypeStateIssuer
000000286657OtherOHANTHEM BCBS
DF3030OtherOHRRM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1174582530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S 70TH ST STE 202",
            "address_2": "PO BOX 67250",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061576",
            "telephone_number": "402-328-8833",
            "fax_number": "402-328-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK AVE",
            "address_2": "SUITE 230",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401121",
            "telephone_number": "740-845-7600",
            "fax_number": "740-845-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-845-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000286657",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "DF3030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.