Niese Family Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NIESE FAMILY MEDICINE LLC

Practice address

3387 Road K3
Ottawa, OH 45875-8741

Phone

(419) 615-2983

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Zachary Charles Niese, MSN, APRN, FNP-C

Title

Owner

Phone

(419) 615-2983

Specialties & licenses 2

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23466/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1417548256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 ROAD P",
            "city": "PANDORA",
            "state": "OH",
            "postal_code": "458779733",
            "telephone_number": "419-615-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 ROAD K3",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458758741",
            "telephone_number": "419-615-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIESE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "NIESE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-615-2983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2497822501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morman Family Chiropractic, LLC
• Anthony Lee Morman
• Julie Morman
• Brice Russell Musser, O.D.
• Trudy Lynn Neu
• Danielle Lynn Niese, RN, BSN, WCC
• Elizabeth Wilhelmina Niese, LSW
• Makenna Niese, DPT
• Northwest Physical Therapy, Inc.
• Oak Haven Residential Care Center LLC (Serenity Living Center)

• Primary Care Clinic/Center in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.