NPIMap

Organization Active NPI

Liberty Family Medicine LLC

  • Family Medicine Physician
  • West Chester, OH
National Provider Identifier
1598095234
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35082882 Issued in OH
Legal business name
LIBERTY FAMILY MEDICINE LLC
Practice address
7136 Office Park Drive
West Chester, OH 45069-2261
Phone
(513) 755-1912
Fax
(513) 755-2013
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Aleda Nash Johnson, M.D.
Title
Physician
Phone
(513) 226-8474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35082882 OH Primary

Addresses

Primary practice location

7136 Office Park Drive
West Chester, OH 45069-2261

Mailing address

7136 Office Park Drive
West Chester, OH 45069-2261
Phone (513) 755-1912

National Provider Directory

National Provider Directory

Locations

7136 Office Park Dr
West Chester, OH 45069
Phone (513) 377-5191

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1598095234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 OFFICE PARK DRIVE",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692261",
            "telephone_number": "513-755-1912",
            "fax_number": "513-755-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 OFFICE PARK DRIVE",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692261",
            "telephone_number": "513-755-1912",
            "fax_number": "513-755-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALEDA",
        "authorized_official_middle_name": "NASH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-226-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35082882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.