Main Street Family Practice Inc in Dayton - Family Medicine
Main Street Family Practice Inc - NPI 1093864035
Main Street Family Practice Inc is a Family Medicine in Dayton, Ohio. Main Street Family Practice Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Main Street Family Practice Inc is 1093864035. The last update date is 2022-07-21.
Main Street Family Practice Inc's current location address is 9000 North Main Street, Dayton, Ohio. You can contact this provider via phone number 9378365171 and fax number 9378320728. The mailing address for Main Street Family Practice Inc is 9000 North Main Street, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Family Practice Inc |
|---|---|
| Address | 9000 North Main Street, Dayton, Ohio |
| Phone Number | 9378365171 |
| Fax Number | 9378320728 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fujimura K Martin |
| Credentials | MD |
| Telephone Number | 9378365171 |
NPI Number Detail
| NPI Number | 1093864035 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 9000 North Main Street |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454151180 |
| Phone Number | 9378365171 |
| Fax Number | 9378320728 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13156 | ANTHEM BCBS | ||
| 668433 | OH | -- |
Post Comment/ Review Below
What is the Main Street Family Practice Inc's 1093864035?
The Main Street Family Practice Inc's NPI (National Provider Identifier) Number is 1093864035. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Main Street Family Practice Inc's facilities are situated?
The facilities of Main Street Family Practice Inc are physically located at the following address: 9000 North Main Street, Dayton, OH, 454151180.
What is the area of specialization for Main Street Family Practice Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Main Street Family Practice Inc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date was the 1093864035 assigned to Main Street Family Practice Inc?
The Main Street Family Practice Inc was issued its 1093864035 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Main Street Family Practice Inc most recently updated or refreshed?
The details pertaining to the Main Street Family Practice Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.