Platt Family Medical Clinic LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

34 004801 Issued in OH

Legal business name

PLATT FAMILY MEDICAL CLINIC LLC

Practice address

530 W Union St
Suite B
Athens, OH 45701-8303

Phone

(740) 594-7050

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William J Platt, DONPI 1629156690

Title

Owner

Phone

(740) 594-7050

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• William J Platt, D.O.

  • Family Medicine Physician
  • Athens, OH
  • NPI 1629156690
  NPD (past) Authorized official

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1205014438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W UNION ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-594-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W UNION ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-594-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATT FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-594-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "34 004801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2844702",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William J Platt, D.O.
• Andrew Hari Polenakovik, DDS
• Alexis N Polinsky, QMHS
• Carin Poore, RN
• Jill Y Porter, DO

• Preferred Provider Organization in Athens, OH
• Providers in Athens, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.