Active NPI
Family Practice Associates of Springfield LLC
- Family Medicine Physician
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY PRACTICE ASSOCIATES OF SPRINGFIELD LLC
- Practice address
- 2701 Moorefield Rd
Springfield, OH 45502-8207 - Phone
- (937) 399-6650
- Fax
- (513) 718-3223
- NPI assigned
- Mar 27, 2006
- Last updated
- Oct 10, 2023
- 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
- Richard Gordon, MD
- Title
- President
- Phone
- (937) 399-6650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2701 Moorefield Rd
Springfield, OH 45502-8207
Mailing address
2701 Moorefield Rd
Springfield, OH 45502-8207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2221750 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0350295 | Family Practice Associates of Springfield, LLC | Certificate of waiver | Jul 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
2701 Moorefield Rd
Springfield, OH 45502
Phone (937) 399-6650
3185 El Camino Dr
Springfield, OH 45503
Phone (866) 344-4946
Practitioners & affiliated clinicians
Practitioners 3
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
- Springfield, OH
- NPI 1154313609
-
- Physician Assistant
- Springfield, OH
- NPI 1942626874
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, OH
- NPI 1477565133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696896000000",
"number": "1265492839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 MOOREFIELD RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455028207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 MOOREFIELD RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455028207",
"telephone_number": "937-399-6650",
"fax_number": "513-718-3223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE ASSOCIATES OF SPRINGFIELD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-399-6650",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2221750",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.