NPIMap

Organization Active NPI

Oakmont Family Practice LLC

  • Family Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1861641318
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3926 Issued in OH
Legal business name
OAKMONT FAMILY PRACTICE LLC
Practice address
1103 Village Square Dr
Suite 100
Perrysburg, OH 43551-1783
Phone
(419) 874-8745
Fax
(419) 874-8748
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Ray J Miller, D.O.
Title
Owner
Phone
(419) 874-8745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3926 OH Primary

Addresses

Primary practice location

1103 Village Square Dr
Suite 100
Perrysburg, OH 43551-1783

Mailing address

1103 Village Square Dr
Suite 100
Perrysburg, OH 43551-1783
Phone (419) 874-8745

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1861641318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR",
            "address_2": "SUITE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511783",
            "telephone_number": "419-874-8745",
            "fax_number": "419-874-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR",
            "address_2": "SUITE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511783",
            "telephone_number": "419-874-8745",
            "fax_number": "419-874-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKMONT FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-874-8745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.