Active NPI
London Family Medicine, Inc.
- Family Medicine Physician
- London, OH
National Provider Identifier
1174582530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000286657 | Other | OH | ANTHEM BCBS |
| DF3030 | Other | OH | RRM |
National Provider Directory
National Provider DirectoryNPI 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.