NPIMap

Organization Active NPI

University Family Physicians, Inc.

  • Family Medicine Physician
  • Wilmington, OH
National Provider Identifier
1720054190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY FAMILY PHYSICIANS, INC.
Practice address
825 W Locust St
Wilmington, OH 45177-2118
Phone
(937) 383-3402
Fax
(937) 383-0610
NPI assigned
Feb 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Jeffrey Louis Susman, M.D.
Title
President
Phone
(513) 558-4021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

825 W Locust St
Wilmington, OH 45177-2118

Mailing address

141 Health Professions Building
PO Box 670582
Cincinnati, OH 45267-0582
Phone (513) 558-4021

Other identifiers 1

IdentifierTypeStateIssuer
2102923MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
University Family Physicians Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720054190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HEALTH PROFESSIONS BUILDING",
            "address_2": "PO BOX 670582",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670582",
            "telephone_number": "513-558-4021",
            "fax_number": "513-558-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772118",
            "telephone_number": "937-383-3402",
            "fax_number": "937-383-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FAMILY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUSMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-558-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102923",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, 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.