Organization Active NPI

Studebaker Family Practice Inc.

  • Family Medicine Physician
  • Brookville, OH
National Provider Identifier
1609081314
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STUDEBAKER FAMILY PRACTICE INC.
Practice address
98 Mosier Pkwy
Brookville, OH 45309-1750
Phone
(937) 833-4103
Fax
(937) 833-3147
NPI assigned
May 14, 2007
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Mrs. Sherri Letner
Title
Office Manager
Phone
(937) 833-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

98 Mosier Pkwy
Brookville, OH 45309-1750

Mailing address

98 Mosier Pkwy
Brookville, OH 45309-1750
Phone (937) 833-4103

Other identifiers 2

IdentifierTypeStateIssuer
2372696MedicaidOH
000000233928OtherOHANTHEM BC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1609081314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MOSIER PKWY",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091750",
            "telephone_number": "937-833-4103",
            "fax_number": "937-833-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MOSIER PKWY",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091750",
            "telephone_number": "937-833-4103",
            "fax_number": "937-833-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDEBAKER FAMILY PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "LETNER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-833-4103",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372696",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000233928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.