Active NPI
Fike Family Primary Care
- Family Medicine Physician
- Wooster, OH
National Provider Identifier
1669157590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FIKE FAMILY PRIMARY CARE
- Practice address
- 128 E Milltown Rd Ste 105
Wooster, OH 44691-1276 - Phone
- (133) 034-5806
- NPI assigned
- Jun 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chalon J Fike, MD
- Title
- Owner
- Phone
- (330) 345-8060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
128 E Milltown Rd Ste 105
Wooster, OH 44691-1276
Mailing address
128 E Milltown Rd Ste 105
Wooster, OH 44691-1276
Phone (133) 034-5806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1687132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1669157590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E MILLTOWN RD STE 105",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911276",
"telephone_number": "133-034-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E MILLTOWN RD STE 105",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911276",
"telephone_number": "133-034-5806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIKE FAMILY PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "FIKE",
"authorized_official_first_name": "CHALON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-345-8060",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.