Organization Active NPI

Carroll Family Practice Inc

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1265617005
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in OH
Legal business name
CARROLL FAMILY PRACTICE INC
Practice address
2318 E Main St
Suite 100
Lancaster, OH 43130-9351
Phone
(740) 653-7121
Fax
(740) 653-7122
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Dr. Leroy Brian Varney, M.D.
Title
Doctor/Owner
Phone
(740) 653-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 207Q00000X OH Primary

Addresses

Primary practice location

2318 E Main St
Suite 100
Lancaster, OH 43130-9351

Mailing address

2318 E Main St
Suite 100
Lancaster, OH 43130-9351
Phone (740) 653-7121

Other identifiers 1

IdentifierTypeStateIssuer
2430462MedicaidOH

National Provider Directory

National Provider Directory

Locations

36 Lehman Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2273

2682 Kull Rd
Lancaster, OH 43130
Phone (740) 687-1502

241 Whittier Dr S
Ofc
Lancaster, OH 43130
Phone (740) 681-9903

20017 State Route 93 S
Logan, OH 43138
Phone (740) 385-2461

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1265617005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309351",
            "telephone_number": "740-653-7121",
            "fax_number": "740-653-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309351",
            "telephone_number": "740-653-7121",
            "fax_number": "740-653-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "740-653-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.