Active NPI
Family Health Care of Marysville, LLC
- Family Medicine Physician
- Marysville, OH
National Provider Identifier
1770539629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-05-5046
- Legal business name
- FAMILY HEALTH CARE OF MARYSVILLE, LLC
- Practice address
- 681 London Ave
Marysville, OH 43040-1599 - Phone
- (937) 642-2862
- Fax
- (937) 642-9862
- NPI assigned
- May 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Connie J. Warren, M.D.
- Title
- Owner
- Phone
- (937) 578-2860
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-05-5046 | OH | Primary |
Addresses
Primary practice location
681 London Ave
Marysville, OH 43040-1599
Mailing address
200 Bradenton Ave
Dublin, OH 43017-7515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2581764 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1801833504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189036800000",
"number": "1770539629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BRADENTON AVE",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430177515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 LONDON AVE",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430401599",
"telephone_number": "937-642-2862",
"fax_number": "937-642-9862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH CARE OF MARYSVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2007-09-06",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-578-2860",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35-05-5046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2581764",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.