NPIMap

Organization Active NPI

Old Schoolhouse Family Practice, LLC

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1639351349
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35057915B Issued in OH
Legal business name
OLD SCHOOLHOUSE FAMILY PRACTICE, LLC
Practice address
1955 Lancaster Newark Rd NE
Lancaster, OH 43130-1058
Phone
(740) 689-2820
Fax
(740) 689-2830
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Scott R. Baker, MDNPI 1235118209
Title
President
Phone
(740) 689-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35057915B OH Primary

Addresses

Primary practice location

1955 Lancaster Newark Rd NE
Lancaster, OH 43130-1058

Mailing address

1955 Lancaster Newark Rd NE
Lancaster, OH 43130-1058
Phone (740) 689-2820

Other identifiers 1

IdentifierTypeStateIssuer
0814846MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1639351349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 LANCASTER NEWARK RD NE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301058",
            "telephone_number": "740-689-2820",
            "fax_number": "740-689-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 LANCASTER NEWARK RD NE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301058",
            "telephone_number": "740-689-2820",
            "fax_number": "740-689-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD SCHOOLHOUSE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-689-2820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057915B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0814846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.