Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35072373 Issued in OH

Legal business name

FAMILY MEDICINE INC

Practice address

6525 Market Ave N
Suite 101
Canton, OH 44721-2430

Phone

(330) 494-9785

Fax

(330) 494-9798

NPI assigned

Oct 16, 2007

Last updated

Jan 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Ethell Mirande, M.D.NPI 1437123783

Title

President

Phone

(330) 494-9785

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Ethell Mirande, MD

  • Family Medicine Physician
  • Canton, OH
  • NPI 1437123783
  Medicare reassignment Care Compare group NPD Authorized official
• Bethany Joy Smith, CNP

  • Family Nurse Practitioner
  • Akron, OH
  • NPI 1730355009
  Medicare reassignment Care Compare group NPD
• Gabrielle Barbara Dickerhoof, NP-C

  • Family Nurse Practitioner
  • Salem, OH
  • NPI 1982118758

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1841489861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 MARKET AVE N",
            "address_2": "SUITE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430",
            "telephone_number": "330-494-9785",
            "fax_number": "330-494-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 MARKET AVE N",
            "address_2": "SUITE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430",
            "telephone_number": "330-494-9785",
            "fax_number": "330-494-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "MIRANDE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ETHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-494-9785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35072373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin W. Falkenberg, AA
• Jeffery Scott Falkner
• Tajanique Falls
• Families Integrated Residential Services LLC
• Family Life Home and Health Care Services, LLC
• Family Solutions Residential Services, LLC
• Joseph James Fammartino, M.D.
• Fanno and Scherer Orthodontics
• Lorian Fantz, LPC
• Constantin F Farah, DDS, MSD

• Family Medicine Physician in Canton, OH
• Providers in Canton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.