Organization Active NPI

Generations Family Medicine of Southwest Ohio LLC

  • Family Medicine Physician
  • Middletown, OH
National Provider Identifier
1508040171
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENERATIONS FAMILY MEDICINE OF SOUTHWEST OHIO LLC
Practice address
1042 Summitt SQ
Middletown, OH 45042-3400
Phone
(513) 217-5850
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Leah Avera, MD
Title
President
Phone
(513) 217-5850

Specialties & licenses 1

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

Addresses

Primary practice location

1042 Summitt SQ
Middletown, OH 45042-3400

Mailing address

PO Box 635893
Cincinnati, OH 45263-5893
Phone (513) 721-3504

National Provider Directory

National Provider Directory

Locations

1042 Summit Dr
Middletown, OH 45042
Phone (513) 217-5850

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1508040171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635893",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635893",
            "telephone_number": "513-721-3504",
            "fax_number": "513-345-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423400",
            "telephone_number": "513-217-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS FAMILY MEDICINE OF SOUTHWEST OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "AVERA",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-217-5850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.