Organization Active NPI

Sylvania Family Health and Wellness Center Inc

  • Family Medicine Physician
  • Sylvania, OH
National Provider Identifier
1285878173
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35073536 Issued in OH
Legal business name
SYLVANIA FAMILY HEALTH AND WELLNESS CENTER INC
Practice address
7135 Sylvania Ave
Suite 1C
Sylvania, OH 43560-5510
Phone
(419) 885-8822
Fax
(419) 885-9221
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Crystal Luke, MD
Title
Owner
Phone
(419) 885-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35073536 OH Primary

Addresses

Primary practice location

7135 Sylvania Ave
Suite 1C
Sylvania, OH 43560-5510

Mailing address

7135 Sylvania Ave
Suite 1C
Sylvania, OH 43560-5510
Phone (419) 885-8822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1285878173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 SYLVANIA AVE",
            "address_2": "SUITE 1C",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435605510",
            "telephone_number": "419-885-8822",
            "fax_number": "419-885-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 SYLVANIA AVE",
            "address_2": "SUITE 1C",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435605510",
            "telephone_number": "419-885-8822",
            "fax_number": "419-885-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVANIA FAMILY HEALTH AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-885-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.