NPIMap

Organization Active NPI

The Family Medical Group, LLC

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1295749166
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE FAMILY MEDICAL GROUP, LLC
Practice address
6331 Glenway Ave
Cincinnati, OH 45211-6301
Phone
(513) 389-1400
Fax
(513) 389-7009
NPI assigned
Jul 28, 2006
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Meghan Elizabeth Toney
Title
Credentialing Coordinator
Phone
(513) 389-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH Primary

Addresses

Primary practice location

6331 Glenway Ave
Cincinnati, OH 45211-6301

Mailing address

3260 Westbourne Dr
Cincinnati, OH 45248-5107
Phone (513) 389-1400

Other identifiers 1

IdentifierTypeStateIssuer
2360832MedicaidOH

National Provider Directory

National Provider Directory

Locations

6480 Harrison Ave
Fl 3
Cincinnati, OH 45247
Phone (513) 389-1400

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1295749166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 WESTBOURNE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485107",
            "telephone_number": "513-389-1400",
            "fax_number": "513-347-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116301",
            "telephone_number": "513-389-1400",
            "fax_number": "513-389-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "TONEY",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "513-389-1400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2360832",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.