Organization Active NPI

Upper Valley Family Care Inc

  • Family Medicine Physician
  • Troy, OH
National Provider Identifier
1710977244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPPER VALLEY FAMILY CARE INC
Practice address
700 S Stanfield Rd
Troy, OH 45373-2372
Phone
(937) 339-8060
Fax
(937) 339-3056
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane Kauffman
Title
Business Manager
Phone
(937) 339-8060

Specialties & licenses 1

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

Addresses

Primary practice location

700 S Stanfield Rd
Troy, OH 45373-2372

Mailing address

700 S Stanfield Rd
Troy, OH 45373-2372
Phone (937) 339-8060

Other identifiers 1

IdentifierTypeStateIssuer
0473492MedicaidOH

National Provider Directory

National Provider Directory

Locations

700 S Stanfield Rd
#1
Troy, OH 45373
Phone (937) 339-5355

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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710977244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-8060",
            "fax_number": "937-339-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-8060",
            "fax_number": "937-339-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "937-339-8060"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473492",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.