South Court Family Physicians Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35077002B Issued in OH

Legal business name

SOUTH COURT FAMILY PHYSICIANS INC

Practice address

1075 S Court St
Suite 100
Medina, OH 44256-4354

Phone

(330) 722-6337

Fax

(330) 722-0481

NPI assigned

Jul 6, 2007

Last updated

Dec 14, 2009By 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

Mrs. Jennifer L Hodges

Title

Office Manager

Phone

(330) 722-6337

Specialties & licenses 2

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 2

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.

• Joseph Bruce Blackburn, MD

  • Family Medicine Physician
  • Medina, OH
  • NPI 1730183138
  Medicare reassignment Care Compare group NPD
• Andrea L Galehouse, P.A.-C

  • Physician Assistant
  • Medina, OH
  • NPI 1083738710
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1922206291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S COURT ST",
            "address_2": "SUITE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564354",
            "telephone_number": "330-722-6337",
            "fax_number": "330-722-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S COURT ST",
            "address_2": "SUITE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564354",
            "telephone_number": "330-722-6337",
            "fax_number": "330-722-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COURT FAMILY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-722-6337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077002B",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-002583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Michael Sonnie, M.D., M.P.H.
• Cynthia Kay Sorensen
• Kaleena Sorma, R.N.
• Soul's Journey Counseling, LLC (Beverly Major)
• South Court Dental Medicine, Inc. -Jeffrey C Esterburg D.M.D. and Mich
• Angela South
• Taylor Sowell
• B. Christopher Space, DDS
• Carol Jean Spartano
• Mark C Speelman, MD

• Family Medicine Physician in Medina, OH
• Providers in Medina, 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 Dec 14, 2009; 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.