Organization Active NPI

Fairlawn Family Practice Inc.

  • Family Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1306970058
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAIRLAWN FAMILY PRACTICE INC.
Practice address
50 N Miller Rd
Fairlawn, OH 44333-3702
Phone
(330) 836-9721
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. J Joseph Payton, MD
Title
President
Phone
(330) 836-9721

Specialties & licenses 1

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

Addresses

Primary practice location

50 N Miller Rd
Fairlawn, OH 44333-3702

Mailing address

50 N Miller Rd
Fairlawn, OH 44333-3702
Phone (330) 836-9721

Other identifiers 1

IdentifierTypeStateIssuer
0322985MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0688597Fairlawn Family Practice50 North Miller Road, Fairlawn, OH 44333Provider-performed microscopyAug 8, 2026

National Provider Directory

National Provider Directory

Locations

3239 State Rd
Cuyahoga Falls, OH 44223
Phone (330) 923-4500

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306970058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWN FAMILY PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "J JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-836-9721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.