NPIMap

Organization Active NPI

Samaritan Family Care Inc

  • Family Medicine Physician
  • Moraine, OH
National Provider Identifier
1659503886
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAMARITAN FAMILY CARE INC
Practice address
3170 Kettering Blvd
Building B 3Rd Floor
Moraine, OH 45439-1924
Phone
(937) 991-3188
Fax
(937) 223-9811
NPI assigned
Aug 21, 2009
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Darlene F Michel
Title
Systems Support Analyst
Phone
(937) 499-6758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

3170 Kettering Blvd
Building B 3Rd Floor
Moraine, OH 45439-1924

Mailing address

3170 Kettering Blvd
Building B 3Rd Floor
Moraine, OH 45439-1924
Phone (937) 991-3188

Other identifiers 1

IdentifierTypeStateIssuer
0081307MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000210 OH Part B Supplier - Clinic/Group Practice 5092608372 Receives reassigned benefits from 160 practitioners
19 other NPIs on this enrollment
Practice locations: Englewood, OH; Vandalia, OH; New Lebanon, OH; Lewisburg, OH; Huber Heights, OH; Dayton, OH; Brookville, OH

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory

Locations

1 Country Ln
Brookville, OH 45309
Phone (937) 203-3079

1135 N Gettysburg Ave
Dayton, OH 45417
Phone (513) 268-3483

136 S Ludlow St
#1
Dayton, OH 45402
Phone (937) 499-6745

2295 Philadelphia Dr
#D
Dayton, OH 45406
Phone (937) 275-3388

3535 Salem Ave
Dayton, OH 45406
Phone (937) 276-8323

9000 N Main St
#233B
Englewood, OH 45415
Phone (937) 832-9310

9000 N Main St
#A
Englewood, OH 45415
Phone (937) 832-9310

9000 N Main St
#G35A
Englewood, OH 45415
Phone (937) 836-7211

6251 Miami Valley Way
Ste 210C
Huber Heights, OH 45424
Phone (937) 233-3910

8638 Troy Pike
Ste 101
Huber Heights, OH 45424
Phone (937) 237-9575

8638 Troy Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 233-3915

685 Helke Rd
Vandalia, OH 45377
Phone (937) 454-0317

Practitioners & affiliated clinicians

Practitioners 163

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.

View all 163

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1659503886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BUILDING B 3RD FLOOR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BUILDING B 3RD FLOOR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SYSTEMS SUPPORT ANALYST",
        "authorized_official_telephone_number": "937-499-6758"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.