Organization Active NPI

Frank Family Medical Center LLC

  • Family Medicine Physician
  • Marengo, OH
National Provider Identifier
1598040586
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRANK FAMILY MEDICAL CENTER LLC
Practice address
4550 State Route 229
Marengo, OH 43334-9687
Phone
(419) 253-3003
Fax
(419) 253-2153
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Jesse Jay Frank, D.O.
Title
Owner/President
Phone
(419) 253-3003

Specialties & licenses 1

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

Addresses

Primary practice location

4550 State Route 229
Marengo, OH 43334-9687

Mailing address

4550 State Route 229
Marengo, OH 43334-9687
Phone (419) 253-3003

Other identifiers 1

IdentifierTypeStateIssuer
0058738MedicaidOH

National Provider Directory

National Provider Directory

Locations

4550 State Route 229
Marengo, OH 43334
Phone (419) 253-3003

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1598040586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 STATE ROUTE 229",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349687",
            "telephone_number": "419-253-3003",
            "fax_number": "419-253-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 STATE ROUTE 229",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349687",
            "telephone_number": "419-253-3003",
            "fax_number": "419-253-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK FAMILY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "419-253-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marengo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.