Organization Active NPI

Priority Medical Family Practice, LLC

  • General Practice Physician
  • Zanesville, OH
National Provider Identifier
1811507668
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRIORITY MEDICAL FAMILY PRACTICE, LLC
Practice address
1128 Linden Ave
Zanesville, OH 43701-2908
Phone
(740) 487-4717
Fax
(740) 487-4716
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Stacy FusnerNPI 1720690597
Title
Owner
Phone
(740) 891-1288

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1128 Linden Ave
Zanesville, OH 43701-2908

Mailing address

1128 Linden Ave
Zanesville, OH 43701-2908
Phone (740) 487-4717

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pm-fp.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201001003129 OH Part B Supplier - Clinic/Group Practice 4082033550 Receives reassigned benefits from 9 practitioners
Practice locations: Zanesville, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2189594Priority Medical Family Practice1128 Linden Avenue, Zanesville, OH 43701Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Locations

1128 Linden Ave
Zanesville, OH 43701
Phone (740) 255-4008

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1811507668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012908",
            "telephone_number": "740-487-4717",
            "fax_number": "740-487-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012908",
            "telephone_number": "740-487-4717",
            "fax_number": "740-487-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY MEDICAL FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "FUSNER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-891-1288"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pm-fp.com",
            "affiliation": "N",
            "address_1": "1128 Linden Ave",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437012908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.