Active NPI
South Central Family Physicians Inc
- Family Medicine Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTH CENTRAL FAMILY PHYSICIANS INC
- Practice address
- 3529 Fortuna Dr
Akron, OH 44312-5282 - Phone
- (330) 644-0022
- Fax
- (330) 644-0328
- NPI assigned
- Nov 6, 2006
- Last updated
- Mar 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey D Kile, MD
- Title
- President
- Phone
- (330) 644-0022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3529 Fortuna Dr
Akron, OH 44312-5282
Mailing address
3529 Fortuna Dr
Akron, OH 44312-5282
Phone (330) 644-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0909977 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0857956 | South Central Family Physicians Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
3529 Fortuna Dr
Green, OH 44312
Phone (330) 644-0022
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Akron, OH
- NPI 1407958556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330646400000",
"number": "1861571176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3529 FORTUNA DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443125282",
"telephone_number": "330-644-0022",
"fax_number": "330-644-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3529 FORTUNA DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443125282",
"telephone_number": "330-644-0022",
"fax_number": "330-644-0328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CENTRAL FAMILY PHYSICIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2012-03-02",
"status": "A",
"authorized_official_last_name": "KILE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-644-0022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0909977",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.