NPIMap

Organization Active NPI

Twin Valley Family Practice

  • Family Medicine Physician
  • West Alexandria, OH
National Provider Identifier
1841464062
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35073056B Issued in OH
Legal business name
TWIN VALLEY FAMILY PRACTICE
Practice address
60 W Dayton St
West Alexandria, OH 45381-1128
Phone
(937) 839-8837
Fax
(937) 839-0408
NPI assigned
Apr 18, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Carol L Bland, M.D.
Title
President/Physician
Phone
(937) 839-8837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35073056B OH Primary

Addresses

Primary practice location

60 W Dayton St
West Alexandria, OH 45381-1128

Mailing address

60 W Dayton St
West Alexandria, OH 45381-1128
Phone (937) 839-8837

Other identifiers 1

IdentifierTypeStateIssuer
2061174MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1841464062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W DAYTON ST",
            "city": "WEST ALEXANDRIA",
            "state": "OH",
            "postal_code": "453811128",
            "telephone_number": "937-839-8837",
            "fax_number": "937-839-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W DAYTON ST",
            "city": "WEST ALEXANDRIA",
            "state": "OH",
            "postal_code": "453811128",
            "telephone_number": "937-839-8837",
            "fax_number": "937-839-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN VALLEY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "937-839-8837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073056B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Alexandria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.