SOUTHLAND FAMILY MEDICINE ASSOCIATES INC (NPI# 1801976311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801976311 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND FAMILY MEDICINE ASSOCIATES INC |
| Practice Address |
03920 Southland Rd New Bremen OH 45869 |
| Mailing Address |
03920 Southland Rd Po Box 127 New Bremen OH 45869 |
| Practice Telephone | 4196292772 |
| Practice Fax Number | 4196293613 |
| Mailing Telephone | 4196292772 |
| Mailing Fax Number | 4196293613 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | DR. VICTOR J STEGALL (DIRECTOR) |
| Authorized Official Telephone | 4196292772 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35 04 8500 L | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35 02 4908 B | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35 03 2392 S | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0995811 | 05 |
| Street Address |
03920 SOUTHLAND RD |
| City | NEW BREMEN |
| State | OH |
| Zip Code | 45869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450609 | John F Bowling | Family Medicine | 03920 Southland Rd, New Bremen, OH 45869-9790 | 2005-10-12 |
| 1255952909 | Deanna Bruggeman | Nurse Practitioner | 03920 Southland Rd, New Bremen, OH 45869-9790 | 2020-05-05 |
| 1881119246 | Amanda Lynn Hurley | Nurse Practitioner | 03920 Southland Rd, New Bremen, OH 45869-9790 | 2017-08-07 |
| 1871961144 | Auglaize Mercer Cardiology Inc | Internal Medicine | 03920 Southland Rd, New Bremen, OH 45869-9790 | 2015-09-03 |
| 1619361540 | Kristen Sherman | Pediatrics | 03920 Southland Rd, New Bremen, OH 45869-9790 | 2015-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685027 | Charmaline Zephirin Benoit | Licensed Practical Nurse | 417 East Monroe Street, New Bremen, OH 45869 | 2019-08-26 |
| 1457483711 | Thomas Karl Broering | Dentist | 710 East Monroe St, New Bremen, OH 45869 | 2007-03-12 |
| 1730140013 | Puttagunta Ranga | Internal Medicine | 3920 Southland Rd, New Bremen, OH 45869 | 2006-03-28 |
| 1003807009 | Allied Physicians Inc., D/b/a Indiana Ohio Heart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | State Road 66, New Breman, OH 45869 | 2005-10-31 |
| 1104070853 | New Bremen Local Schools | Local Education Agency (LEA) | 202 S Walnut St, New Bremen, OH 45869 | 2008-11-07 |
| 1821008723 | Dr. Ranga Inc. | Internal Medicine | 3920 Southland Rd, New Bremen, OH 45869 | 2006-08-09 |
| 1841251006 | Rajendra Kakarla | Internal Medicine | 3920 Southland Rd, New Bremen, OH 45869 | 2006-03-29 |
| 1093749913 | Terry Dean Roode | Family Medicine | 03920 Southland Rd., New Bremen, OH 45869-0127 | 2006-07-10 |
| 1063417376 | Jeffrey R. Paul | Chiropractor | 712 E Monroe St, New Bremen, OH 45869-1000 | 2005-06-15 |
| 1194144022 | Kristin Hopf | Speech-Language Pathologist | 84 Circle Dr, New Bremen, OH 45869-1006 | 2014-04-08 |
| Find all providers in zip 45869 | ||||
| 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 |
|---|---|---|---|---|
| 1093749913 | Terry Dean Roode | Family Medicine | 03920 Southland Rd., New Bremen, OH 45869-0127 | 2006-07-10 |
| 1568450609 | John F Bowling | Family Medicine | 03920 Southland Rd, New Bremen, OH 45869-9790 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW BREMEN |
| Zip Code | 45869 |
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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.