PARK AVENUE FAMILY PRACTICE INC (NPI# 1760649750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760649750 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE FAMILY PRACTICE INC |
| Practice Address |
55 Park Ave Ste 250 London OH 43140-1121 |
| Practice Telephone | 7408520938 |
| Mailing Telephone | 7408520938 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | KATHERINE BINNS (PRESIDENT) |
| Authorized Official Telephone | 7408520938 |
| Authorized Official Credential | D O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34009227 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
55 PARK AVE STE 250 |
| City | LONDON |
| State | OH |
| Zip Code | 43140-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638079 | Carli Pimm | Physical Therapist | 55 Park Ave, London, OH 43140-1170 | 2020-04-20 |
| 1780235887 | Alison Julia Ayres | Nurse Practitioner | 55 Park Ave, London, OH 43140-1170 | 2019-09-20 |
| 1811447097 | Jennifer Crutchfield Hatton | Nurse Practitioner | 55 Park Ave, Ste 275, London, OH 43140-1170 | 2016-10-11 |
| 1326596966 | Misty M. Nichols | Nurse Practitioner | 55 Park Ave, London, OH 43140 | 2016-09-12 |
| 1841656139 | Allison Landoll | Pediatrics | 55 Park Ave, Suite 275, London, OH 43140-1170 | 2016-01-03 |
| 1548672637 | Lori Knight | Nurse Practitioner | 55 Park Ave, Suite 230, London, OH 43140-1170 | 2014-05-23 |
| 1871913731 | Mount Carmel - Osu Physician Alliance LLC | Family Medicine | 55 Park Ave, London, OH 43140-1170 | 2014-04-18 |
| 1093005274 | Zainab Ibrahim Al-obosi | Family Medicine | 55 Park Ave, Ste 275, London, OH 43140-1170 | 2011-04-09 |
| 1104147669 | Amanda Kay Williams | Family Medicine | 55 Park Ave, Ste 275, London, OH 43140-1170 | 2010-06-18 |
| 1174682363 | London Pediatrics, Inc. | Pediatrics | 55 Park Ave, Ste 240, London, OH 43140-1121 | 2006-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124588421 | Jennifer Howard | Counselor | 1851 Oh-56, London, OH 43140 | 2019-03-22 |
| 1497251896 | Jessica Nicole Ward | Registered Nurse | 371 Lafayette Street, London, OH 43140 | 2018-04-04 |
| 1356738439 | Kimberly Irene Kohli | Psychologist | 1580 State Route 56, Madison Correctional Institution, London, OH 43140 | 2015-04-16 |
| 1033502463 | Misty Fowler | Licensed Practical Nurse | 3775 Us Highway 40 Sw, London, OH 43140 | 2015-03-10 |
| 1295145266 | Sophie Hall | Licensed Practical Nurse | 2820 Old National Road, London, OH 43140 | 2014-04-30 |
| 1891119509 | London City Schools | Early Intervention Provider Agency | 380 Elm Street, London, OH 43140 | 2014-02-17 |
| 1588087654 | Dona Langdon | Dental Hygienist | 1580 State Roure 56, London, OH 43140 | 2014-01-27 |
| 1073818670 | David Allen Fairchild | Pharmacist | 238 Lafayette Street, K Mart Pharmacy 7547, London, OH 43140 | 2011-01-13 |
| 1275771958 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1355 St. Rt. 38 Se, London, OH 43140 | 2009-02-03 |
| 1225250756 | John C Starr | Hospice Care, Community Based | 62 S Oak St, London, OH 43140 | 2007-05-03 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896335 | Keisha Shae Perkins | Family Medicine | 80 Oakwood Dr, London, KY 40744-5412 | 2020-03-12 |
| 1346870458 | Jessica Bennett | Family Medicine | 8946 Mcwhorter Rd, London, KY 40741-8721 | 2020-01-17 |
| 1831757368 | Amanda Radford | Family Medicine | 2694 Philpot Rd, London, KY 40744-9458 | 2019-05-30 |
| 1609393578 | Anna Michelle Jones | Family Medicine | 432 Scarlet Oak Dr, London, KY 40741-8298 | 2017-08-23 |
| 1881125680 | Abby Huck | Family Medicine | 1072 Eagleton Plz Ste A, London, OH 43140-9195 | 2017-03-23 |
| 1831562628 | Elliot L Neufeld | Family Medicine | 1851 St Rt 56, London, OH 43140-0740 | 2015-11-03 |
| 1902131550 | Suresh Panjwani | Family Medicine | Forest Primary Care Centre, 308 A Heartford Road, London, GB N97HD | 2009-10-14 |
| 1922262534 | Paul Ray Smith | Family Medicine | 505 E 9th St, London, KY 40741-1207 | 2008-07-12 |
| 1770764086 | David Brock Do LLC | Family Medicine | 99 W 2nd St, London, OH 43140-1072 | 2007-11-15 |
| 1760697676 | Katherine Elaine Binns | Family Medicine | 1072 Eagleton Blvd, Suite A, London, OH 43140-9195 | 2007-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.