NPIMap

Organization Active NPI

Upper Valley Professional Corporation

Doing business as Dorset Family Care

  • Family Medicine Physician
  • Troy, OH
National Provider Identifier
1801995915
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPPER VALLEY PROFESSIONAL CORPORATION
Doing business as
Dorset Family Care
Practice address
998 S Dorset Rd
Suite 301
Troy, OH 45373-4753
Phone
(937) 339-5441
Fax
(937) 339-6668
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Pamela Rader
Title
Administrator
Phone
(937) 440-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OH Primary

Addresses

Primary practice location

998 S Dorset Rd
Suite 301
Troy, OH 45373-4753

Mailing address

PO Box 479
Troy, OH 45373-0479
Phone (937) 339-5441

Other identifiers 1

IdentifierTypeStateIssuer
2616404MedicaidOH

Other names 1

  • Dorset Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upper Valley Prof Corp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1801995915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453730479",
            "telephone_number": "937-339-5441",
            "fax_number": "937-339-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 S DORSET RD",
            "address_2": "SUITE 301",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734753",
            "telephone_number": "937-339-5441",
            "fax_number": "937-339-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-440-7454"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorset Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.