Organization Active NPI

Ezhealthlive Inc

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1659937977
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EZHEALTHLIVE INC
Practice address
124 W Main St Ste 213B
Lancaster, OH 43130-3763
Phone
(888) 417-6543
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Tiffany R Clauss
Title
Ceo
Phone
(888) 417-6543

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

124 W Main St Ste 213B
Lancaster, OH 43130-3763

Mailing address

PO Box 2389
Lancaster, OH 43130-5389
Phone (740) 675-2186

National Provider Directory

National Provider Directory

Locations

124 W Main St
Ste 200
Lancaster, OH 43130

124 W Main St
Ste 213B
Lancaster, OH 43130
Phone (888) 417-6543

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1659937977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2389",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431305389",
            "telephone_number": "740-675-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W MAIN ST STE 213B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303763",
            "telephone_number": "888-417-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZHEALTHLIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "CLAUSS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-417-6543"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2020; 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.