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SYLVAN LAKES FAMILY PHYSICIANS LTD NPI 1346422425


NPI Information

NPI: 1346422425
Provider Name: SYLVAN LAKES FAMILY PHYSICIANS LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D1028231

Address:
7640 SYLVANIA AVE
SUITE K
SYLVANIA, OH
ZIP 43560
Phone: (419) 517-1001
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SYLVAN LAKES FAMILY PHYSICIANS LTD is a family medicine in Sylvania, OH. The provider is 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 is not limited by age, sex, organ system, or disease entity. SYLVAN LAKES FAMILY PHYSICIANS LTD NPI is 1346422425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7640 SYLVANIA AVE
SUITE K
SYLVANIA, OH
ZIP 43560-729
Phone: (419) 517-1001
Fax: (419) 517-1021

The provider's authorized official is Phillip H Fisher .
The authorized official title is President and has the following contact phone number (419) 517-1001.

The CLIA number assigned to this NPI record is 36D1028231 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/30/2007 and was last updated on 2/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12516503MEDICAIDOHIO
2DC0712OTHEROHIORAILROAD MEDICARE
39345731MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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