Organization Active NPI

West Avenue Family Practice, Inc.

  • Primary Care Clinic/Center
  • Tallmadge, OH
National Provider Identifier
1831379643
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34006905 Issued in OH
Legal business name
WEST AVENUE FAMILY PRACTICE, INC.
Practice address
224 West Ave
Tallmadge, OH 44278-2110
Phone
(330) 633-8341
Fax
(330) 633-8462
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Thomas J Schmeiser, D.O.
Title
President
Phone
(330) 633-8341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 34006905 OH Primary

Addresses

Primary practice location

224 West Ave
Tallmadge, OH 44278-2110

Mailing address

224 West Ave
Tallmadge, OH 44278-2110
Phone (330) 633-8341

Other identifiers 1

IdentifierTypeStateIssuer
2289456MedicaidOH

National Provider Directory

National Provider Directory

Locations

224 West Ave
Tallmadge, OH 44278
Phone (330) 633-8341

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1831379643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782110",
            "telephone_number": "330-633-8341",
            "fax_number": "330-633-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782110",
            "telephone_number": "330-633-8341",
            "fax_number": "330-633-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST AVENUE FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SCHMEISER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-633-8341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34006905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2289456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.