Organization Active NPI

Heritage Family Medicine Inc

  • Family Medicine Physician
  • Lebanon, OH
National Provider Identifier
1710088844
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE FAMILY MEDICINE INC
Practice address
110 S Broadway St
Lebanon, OH 45036-1728
Phone
(513) 934-0900
Fax
(513) 934-3732
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. James M Lacroix, MDNPI 1548239759
Title
Owner
Phone
(513) 934-0900

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

110 S Broadway St
Lebanon, OH 45036-1728

Mailing address

PO Box 1312
Lebanon, OH 45036-5312
Phone (513) 934-0900

Other identifiers 1

IdentifierTypeStateIssuer
DC0670OtherOHRR MEDICARE

Other names 1

  • Heritage Family Medicine, Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100203000431 OH Part B Supplier - Clinic/Group Practice 2567434475 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, OH

National Provider Directory

National Provider Directory

Locations

110 S Broadway St
Ste 4
Lebanon, OH 45036
Phone (513) 934-0900

Practitioners & 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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1710088844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450365312",
            "telephone_number": "513-934-0900",
            "fax_number": "513-934-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361728",
            "telephone_number": "513-934-0900",
            "fax_number": "513-934-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "LACROIX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-934-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0670",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Family Medicine, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.