Active NPI
Frank Family Medical Center LLC
- Family Medicine Physician
- Marengo, OH
National Provider Identifier
1598040586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058738 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.