Family Health Physical Medicine, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

35.082293 Issued in OH

Legal business name

FAMILY HEALTH PHYSICAL MEDICINE, LLC

Practice address

641 E State St
Alliance, OH 44601-4913

Phone

(330) 821-4455

Fax

(330) 821-4504

NPI assigned

Apr 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nick G. Koinoglou, D.C.

Title

Owner/President/Doctor

Phone

(330) 821-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Family Health Physical Medicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Family Health Physical Medicine LLC

  • Sports Medicine (Family Medicine) Physician
  • Alliance, OH
  • NPI 1245572866
  NPD tax ID

Locations

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1720512965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014913",
            "telephone_number": "330-821-4455",
            "fax_number": "330-821-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014913",
            "telephone_number": "330-821-4455",
            "fax_number": "330-821-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "KOINOGLOU",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "330-821-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "35.082293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084079",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Excel Physical Therapy Inc
• Rebecca All Fagan, LPN
• Rachel A Falce
• Family Health Chiropractic, Inc.
• Family Health Physical Medicine LLC
• Family Medical Center of Alliance, Inc
• Family Vision Care of Alliance, Inc.
• Lawrence R Faulk, B.A.
• Deborah Kaye Fearon, PT
• Lesa A Felger

• Durable Medical Equipment & Medical Supplies in Alliance, OH
• Providers in Alliance, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.