Picone Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PICONE FAMILY MEDICINE, LLC

Practice address

9621 E Center St
Windham, OH 44288-1010

Phone

(330) 326-6193

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Mandy Rae Picone

Title

Nurse Practitioner/Owner

Phone

(216) 926-4717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1750935375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 AURORA HILL DR",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 E CENTER ST",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442881010",
            "telephone_number": "330-326-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICONE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "PICONE",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "216-926-4717"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Maycee Morris
• Stacy Lin Nottingham
• James Chung Peng, M,D.
• Jessica Pennell, RN BSN
• Sheena Phillips
• Allyson Rinearson
• Lisa Marie Sanchez
• Autumn Eileen Scheall
• Noreen Siegner
• Brent J Swipas, RPH

• Family Medicine Physician in Windham, OH
• Providers in Windham, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.