Roger H. Princell M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35026545P Issued in OH

Legal business name

ROGER H. PRINCELL M.D., INC

Practice address

5225 Morning Sun Rd
Suite C
Oxford, OH 45056-8929

Phone

(513) 523-2166

Fax

(513) 523-5113

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tari Lynn Spurlock

Title

Office Manager

Phone

(513) 523-2166

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1770897670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 MORNING SUN RD",
            "address_2": "SUITE C",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450568929",
            "telephone_number": "513-523-2166",
            "fax_number": "513-523-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 MORNING SUN RD",
            "address_2": "SUITE C",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450568929",
            "telephone_number": "513-523-2166",
            "fax_number": "513-523-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER H. PRINCELL M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "SPURLOCK",
        "authorized_official_first_name": "TARI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-523-2166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35026545P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7083945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.