Organization Active NPI

Trenton Family Medicine

  • Family Medicine Physician
  • Trenton, OH
National Provider Identifier
1316917859
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRENTON FAMILY MEDICINE
Practice address
304 Edgewood Dr
Trenton, OH 45067-1461
Phone
(513) 988-9243
Fax
(513) 988-9369
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
William S Glickfield, MDNPI 1619947157
Title
President
Phone
(513) 988-9243

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

304 Edgewood Dr
Trenton, OH 45067-1461

Mailing address

304 Edgewood Dr
Trenton, OH 45067-1461
Phone (513) 988-9243

Other identifiers 1

IdentifierTypeStateIssuer
0604500MedicaidOH

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1316917859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 EDGEWOOD DR",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450671461",
            "telephone_number": "513-988-9243",
            "fax_number": "513-988-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 EDGEWOOD DR",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450671461",
            "telephone_number": "513-988-9243",
            "fax_number": "513-988-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENTON FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "GLICKFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-988-9243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0604500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.