NPIMap

Organization Active NPI

Primecare Physicians of West Central Ohio, Inc

  • General Practice Physician
  • Sidney, OH
National Provider Identifier
1609084375
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC
Practice address
1205 Fairington Dr
Sidney, OH 45365-8144
Phone
(937) 492-8431
Fax
(937) 498-5126
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Jeanie Bosslet
Title
Practice Manager
Phone
(937) 492-8431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1205 Fairington Dr
Sidney, OH 45365-8144

Mailing address

1205 Fairington Dr
Sidney, OH 45365-8144
Phone (937) 492-8431

National Provider Directory

National Provider Directory

Locations

1205 Fairington Dr
Sidney, OH 45365
Phone (937) 492-8431

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1609084375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 FAIRINGTON DR",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658144",
            "telephone_number": "937-492-8431",
            "fax_number": "937-498-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 FAIRINGTON DR",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658144",
            "telephone_number": "937-492-8431",
            "fax_number": "937-498-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "BOSSLET",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-492-8431"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.