NPIMap

Organization Active NPI

Medical South Family Practice Assoc Inc

  • Family Medicine Physician
  • Centerville, OH
National Provider Identifier
1659388320
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL SOUTH FAMILY PRACTICE ASSOC INC
Practice address
330 N Main St
Suites #101-102
Centerville, OH 45459-4465
Phone
(937) 433-0960
Fax
(937) 433-0958
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Amy Wooton, M.D.
Title
President
Phone
(937) 433-0960

Specialties & licenses 1

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

Addresses

Primary practice location

330 N Main St
Suites #101-102
Centerville, OH 45459-4465

Mailing address

330 N Main St
Suites #101-102
Centerville, OH 45459-4465
Phone (937) 433-0960

Other names 1

  • Medical South Family Practice Assoc Inc Other name

National Provider Directory

National Provider Directory

Locations

330 N Main St
Ste 101
Centerville, OH 45459
Phone (937) 435-1445

330 N Main St
#101102
Centerville, OH 45459
Phone (937) 433-0960

330 N Main St
Ste 101102
Centerville, OH 45459
Phone (513) 433-0960

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1659388320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "address_2": "SUITES #101-102",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594465",
            "telephone_number": "937-433-0960",
            "fax_number": "937-433-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "address_2": "SUITES #101-102",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594465",
            "telephone_number": "937-433-0960",
            "fax_number": "937-433-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SOUTH FAMILY PRACTICE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "WOOTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-433-0960",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical South Family Practice Assoc Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.