Maple City Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OH35079818 Issued in OH

Legal business name

MAPLE CITY FAMILY PRACTICE, LLC

Practice address

1 E Willard Ave
Norwalk, OH 44857-1155

Phone

(419) 660-1717

Fax

(419) 660-1718

NPI assigned

May 12, 2016

Organization subpart

No

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

Authorized official

Name

Stephanie F Gibson, MDNPI 1619065141

Title

President

Phone

(419) 660-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Stephanie Francis Gibson, M.D.

  • Family Medicine Physician
  • Norwalk, OH
  • NPI 1619065141
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1972959534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E WILLARD AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571155",
            "telephone_number": "419-660-1717",
            "fax_number": "419-660-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E WILLARD AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571155",
            "telephone_number": "419-660-1717",
            "fax_number": "419-660-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE CITY FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-660-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH35079818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Magovac
• Bayley Young Malicki
• Jenna L Malott, MS, RDLD
• Lauren Manuella
• Maple City Family Practice Mark
• Kari Anne Mapus
• Marc D Dolce DPM
• Marina Home Health, LLC
• James Allen Marsh Jr., D.O.
• Kathleen Martin, OTR/L, CLT

• Family Medicine Physician in Norwalk, OH
• Providers in Norwalk, 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 May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.