NPIMap

Organization Active NPI

Advanced Family Practice, Inc

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1689796435
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-006157 Issued in OH
Legal business name
ADVANCED FAMILY PRACTICE, INC
Practice address
8662 N Main St
Dayton, OH 45415-1328
Phone
(937) 890-8580
Fax
(937) 890-9652
NPI assigned
Apr 4, 2007
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Cheryl Anne Gill, D.O.
Title
Owner
Phone
(937) 890-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-006157 OH Primary

Addresses

Primary practice location

8662 N Main St
Dayton, OH 45415-1328

Mailing address

8662 N Main St
Dayton, OH 45415-1328
Phone (937) 890-8580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1689796435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8662 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151328",
            "telephone_number": "937-890-8580",
            "fax_number": "937-890-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8662 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151328",
            "telephone_number": "937-890-8580",
            "fax_number": "937-890-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-890-8580",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-006157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.