Family Health Physical Medicine LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

35.082293 Issued in OH

Legal business name

FAMILY HEALTH PHYSICAL MEDICINE LLC

Practice address

2565 S Union Ave
Alliance, OH 44601-5058

Phone

(330) 821-4455

Fax

(330) 821-4504

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Nick KoinoglouNPI 1720095839

Title

Owner

Phone

(330) 821-4455

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Tax ID family

Family Health Physical Medicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Health Physical Medicine, LLC

  • Durable Medical Equipment & Medical Supplies
  • Alliance, OH
  • NPI 1720512965
  NPD tax ID

Locations

Practitioners 5

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

• Nick George Koinoglou, D.C., FIAMA, DIPL AC

  • Chiropractor
  • Alliance, OH
  • NPI 1720095839
  Medicare reassignment Care Compare group NPD Authorized official
• Donald L Downing, DPT

  • Physical Therapist
  • Warren, OH
  • NPI 1669451324
  Medicare reassignment Care Compare group NPD
• Amy R Hanna, NP

  • Family Nurse Practitioner
  • Alliance, OH
  • NPI 1427631795
  Medicare reassignment Care Compare group NPD
• Thomas A Krupko, MD

  • Orthopaedic Surgery Physician
  • Alliance, OH
  • NPI 1568533214
  Medicare reassignment Care Compare group NPD
• Fidelis Okechukwu Mkparu, MD

  • Cardiovascular Disease Physician
  • Alliance, OH
  • NPI 1174522510
  NPD

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1245572866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015058",
            "telephone_number": "330-821-4455",
            "fax_number": "330-821-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015058",
            "telephone_number": "330-821-4455",
            "fax_number": "330-821-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "KOINOGLOU",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-821-4455"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.082293",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "35.082293",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.14388-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denaya N Esway
• Excel Physical Therapy Inc
• Rebecca All Fagan, LPN
• Rachel A Falce
• Family Health Chiropractic, Inc.
• Family Health Physical Medicine, LLC
• Family Medical Center of Alliance, Inc
• Family Vision Care of Alliance, Inc.
• Lawrence R Faulk, B.A.
• Deborah Kaye Fearon, PT

• Sports Medicine (Family Medicine) Physician in Alliance, OH
• Providers in Alliance, OH by specialty
• Sports Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.