Ohio Family Practice Centers, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OHIO FAMILY PRACTICE CENTERS, INC

Practice address

3009 Smith Road
Suite 200
Fairlawn, OH 44333-3766

Phone

(330) 836-8471

Fax

(330) 665-5840

NPI assigned

Jun 14, 2007

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Wiczen

Title

Office Manager

Phone

(330) 836-8471

Specialties & licenses 1

Addresses

Other identifiers 13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Joseph Chagin, MD

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1407863152
  NPD (past)
• Forest Galloway

  • Family Medicine Physician
  • Fairlawn, OH
  • NPI 1285339192
  NPD (past)
• Eric A Hansen, MD

  • Family Medicine Physician
  • Mount Vernon, OH
  • NPI 1205942406
  NPD (past)
• Amy Christine Newman, PAC

  • Medical Physician Assistant
  • Fairlawn, OH
  • NPI 1568647113
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1598969214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 SMITH ROAD",
            "address_2": "SUITE 200",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333766",
            "telephone_number": "330-836-8471",
            "fax_number": "330-665-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 SMITH ROAD",
            "address_2": "SUITE 200",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333766",
            "telephone_number": "330-836-8471",
            "fax_number": "330-665-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO FAMILY PRACTICE CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "WICZEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-836-8471"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164694758",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35070564S",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548238454",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598969214",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283176",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891763058",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276133",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35077042D",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35092267C",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2369217",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "55000051CTP",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770551509",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2973420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Nichole O'Neill, M.A. CCC-SLP
• Cheryl M Ober, AU.D.
• Mark S. Obernesser, D.D.S.,M.M.SC.
• Tonya Ogletree
• Ohio CVS Stores LLC (CVS Pharmacy #16381)
• Ohio Foot and Ankle Center LLC
• Ohio Healthcare Partners, LLC
• Ohio Living Holdings (Ohio Living Hospice Greater Akron)
• Ohio Living Holdings (Ohio Living Home Health Greater Akron)
• Ohio Living Palliative Care Greater Akron

• Primary Care Clinic/Center in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.