Damascus Family Medicine, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-06-5804 Issued in OH

Legal business name

DAMASCUS FAMILY MEDICINE, INC.

Practice address

388 Damascus Rd
Suite a
Marysville, OH 43040-8507

Phone

(937) 578-4040

Fax

(937) 587-2602

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Delia J. Herzog, M.D.

Title

President

Phone

(937) 578-4040

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Marie Clem-Badhwar, DO

  • Family Medicine Physician
  • Athens, OH
  • NPI 1255403887
  NPD (past)
• Ann Lise Scarbrough, NP-C

  • Family Nurse Practitioner
  • Lorain, OH
  • NPI 1124303946
  NPD (past)
• Tami Jean Hiser, N.P.-C

  • Nurse Practitioner
  • Traverse City, MI
  • NPI 1467740878
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679522015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-793-1980",
            "fax_number": "614-793-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 DAMASCUS RD",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408507",
            "telephone_number": "937-578-4040",
            "fax_number": "937-587-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMASCUS FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-578-4040",
        "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": "35-06-5804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2593162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda G Crum I
• Mary Jo Culbertson
• Custom Staffing Marysville Inc
• CVS Minute Clinic
• Erica Dagostino
• Daniel & Max, LLC
• Daniel J Niederkohr OD Inc
• Kaitlin B Daniel, CDCA
• Adrienne Darah
• Darby Creek Dental, Inc. - David W. Cleveland, D.D.S.

• Family Medicine Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.