Organization Active NPI

Fairfield County General Health District

Doing business as The Fairfield Department of Health

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1477873057
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BA2088323 Issued in OH
Legal business name
FAIRFIELD COUNTY GENERAL HEALTH DISTRICT
Doing business as
The Fairfield Department of Health
Practice address
1550 Sheridan Dr
Suite 100
Lancaster, OH 43130-1381
Phone
(740) 652-2827
Fax
(740) 653-6626
NPI assigned
Jun 7, 2010
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Mark Aebi, MD
Title
Health Commissioner
Phone
(740) 652-2827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BA2088323 OH Primary

Addresses

Primary practice location

1550 Sheridan Dr
Suite 100
Lancaster, OH 43130-1381

Mailing address

1550 Sheridan Dr
Suite 100
Lancaster, OH 43130-1381
Phone (740) 652-2827

Other names 1

  • The Fairfield Department of Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000596 OH Part B Supplier - Mass Immunization (Roster Biller Only) 8123112976 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, OH

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
36D2053763Fairfield County General Health1550 Sheridan Drive, Suite 100, Lancaster, OH 43130Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fairfield County General Health District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 Twin Oaks Dr
Jackson, OH 45640
Phone (740) 286-5094

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1477873057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR",
            "address_2": "SUITE 100",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301381",
            "telephone_number": "740-652-2827",
            "fax_number": "740-653-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR",
            "address_2": "SUITE 100",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301381",
            "telephone_number": "740-652-2827",
            "fax_number": "740-653-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY GENERAL HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "AEBI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "740-652-2827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "BA2088323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fairfield Department of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.