Organization Active NPI

Eaton Family Care Center

  • Family Medicine Physician
  • Eaton, OH
National Provider Identifier
1851485700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EATON FAMILY CARE CENTER
Practice address
550 Hallmark Dr
Eaton, OH 45320-8648
Phone
(937) 456-4181
Fax
(937) 456-4649
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Esham
Title
Organization Manager
Phone
(937) 456-4181

Specialties & licenses 1

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

Addresses

Primary practice location

550 Hallmark Dr
Eaton, OH 45320-8648

Mailing address

550 Hallmark Dr
Eaton, OH 45320-8648
Phone (937) 456-4181

Other identifiers 1

IdentifierTypeStateIssuer
2052844MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851485700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HALLMARK DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208648",
            "telephone_number": "937-456-4181",
            "fax_number": "937-456-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HALLMARK DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208648",
            "telephone_number": "937-456-4181",
            "fax_number": "937-456-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESHAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ORGANIZATION MANAGER",
        "authorized_official_telephone_number": "937-456-4181"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052844",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.