Organization Active NPI

Family Physicians of Springfield, Inc.

  • Family Medicine Physician
  • Springfield, OH
National Provider Identifier
1578864013
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PHYSICIANS OF SPRINGFIELD, INC.
Practice address
247 S Burnett Rd
Springfield, OH 45505-2639
Phone
(937) 328-8850
Fax
(937) 328-8860
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Brent Joseph Darner, PA-C
Title
Physician Assistant
Phone
(937) 418-5720

Specialties & licenses 1

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

Addresses

Primary practice location

247 S Burnett Rd
Springfield, OH 45505-2639

Mailing address

247 S Burnett Rd
Springfield, OH 45505-2639
Phone (937) 328-8850

Other identifiers 2

IdentifierTypeStateIssuer
FA9237031OtherOHMEDICARE GROUP
078-60-65MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1578864013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052639",
            "telephone_number": "937-328-8850",
            "fax_number": "937-328-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052639",
            "telephone_number": "937-328-8850",
            "fax_number": "937-328-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF SPRINGFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "DARNER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "937-418-5720",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "FA9237031",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078-60-65",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.