Celina Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CELINA FAMILY PRACTICE

Practice address

724 E Wayne St
Celina, HI 45822-0420

Phone

(419) 586-3113

Fax

(419) 586-6560

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip R Masser, MDNPI 1891793618

Title

President of Corporation

Phone

(419) 586-3113

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip R. Masser, M.D.

  • Family Medicine Physician
  • Celina, OH
  • NPI 1891793618
  NPD Authorized official
• Peter R White, M.D.

  • General Practice Physician
  • Celina, OH
  • NPI 1215984661
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861574873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458220420",
            "telephone_number": "419-586-3113",
            "fax_number": "419-586-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E WAYNE ST",
            "city": "CELINA",
            "state": "HI",
            "postal_code": "458220420",
            "telephone_number": "419-586-3113",
            "fax_number": "419-586-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELINA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "419-586-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4551168",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609854",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.