Active NPI
Piqua Family Practice Inc
- Nurse Practitioner
- Piqua, OH
National Provider Identifier
1225046154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN305368
- Legal business name
- PIQUA FAMILY PRACTICE INC
- Practice address
- 9159 N County Rd 25a
Piqua, OH 45356 - Phone
- (937) 773-8221
- Fax
- (937) 773-5117
- NPI assigned
- Aug 4, 2006
- Last updated
- Sep 11, 2025
- 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
- Robert Charles Landes, MD PA
- Title
- Officer
- Phone
- (937) 773-8221
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35046324 | OH | |
| Internal Medicine Physician | 207R00000X | 35087354 | OH | |
| Nurse Practitioner | 363L00000X | NP07368 | OH | |
| Nurse Practitioner | 363L00000X | RN305368 | OH | Primary |
Addresses
Primary practice location
9159 N County Rd 25a
Piqua, OH 45356
Mailing address
9159 N County Rd 25a
Piqua, OH 45356
Phone (937) 773-8221
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0766989 | Medicaid | OH | |
| 85087354 | Other | LICENSE JORDAN | |
| 35046324 | Other | LICENSE LANDES | |
| 27752595700 | Other | WORKERS COMP LANDES | |
| E60186 | Other | UPIN LANDES | |
| 0876146 | Medicaid | OH | |
| NP07368 | Other | LICENSE MCKEOWN | |
| 000000015687 | Other | ANTHEM LANDES | |
| 319804D8200 | Other | WORKERS COMP JORDAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Englewood, OH
- NPI 1235123472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1225046154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9159 N COUNTY RD 25A",
"city": "PIQUA",
"state": "OH",
"postal_code": "45356",
"telephone_number": "937-773-8221",
"fax_number": "937-773-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9159 N COUNTY RD 25A",
"city": "PIQUA",
"state": "OH",
"postal_code": "45356",
"telephone_number": "937-773-8221",
"fax_number": "937-773-5117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIQUA FAMILY PRACTICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LANDES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "937-773-8221",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35046324",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35087354",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP07368",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "RN305368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0766989",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE JORDAN",
"identifier": "85087354",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE LANDES",
"identifier": "35046324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP LANDES",
"identifier": "27752595700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN LANDES",
"identifier": "E60186",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0876146",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE MCKEOWN",
"identifier": "NP07368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM LANDES",
"identifier": "000000015687",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP JORDAN",
"identifier": "319804D8200",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Piqua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.