HUDSON FAMILY PRACTICE, INC
NPI 1063553980
Family Medicine in Hudson, OH

NPI Status: Active since February 12, 2007

Contact Information

5655 HUDSON DR
SUITE 303
HUDSON, OH
ZIP 44236
Phone: (330) 800-4800
Fax: (330) 653-3007

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 36D0939206
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-04-2025

About HUDSON FAMILY PRACTICE, INC

This page provides the complete NPI Profile along with additional information for Hudson Family Practice, Inc, a primary care provider established in Hudson, Ohio operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1063553980 assigned on February 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Terry John Wagner D.o. (President)

NPI
1063553980
Provider Name
HUDSON FAMILY PRACTICE, INC
Entity Type
Organization
Location Address
5655 HUDSON DR SUITE 303 HUDSON, OH 44236
Location Phone
(330) 800-4800
Location Fax
(330) 653-3007
Mailing Address
5655 HUDSON DR SUITE 303 HUDSON, OH 44236
Mailing Phone
(330) 800-4800
Mailing Fax
(330) 653-3007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2007
Last Update Date
01-26-2021
Code Navigator

A primary care provider (PCP) like Hudson Family Practice, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERRY JOHN WAGNER D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(330) 344-3000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CG0422OTHER (01)OHRAILROAD MEDICARE
2152790MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0939206
Facility Type
Physician Office
Certificate Effective Date
September 05, 2023
Certificate Expiration Date
September 04, 2025
Laboratory Director
TERRY J. WAGNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hudson Family Practice, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HUDSON FAMILY PRACTICE, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063553980
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231056916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 0 + 5 + 6 + 9 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063553980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NEUROLOGY AND NEUROSCIENCE ASSOCIATES, INC.

Psychiatry & Neurology

(Neurology)

5655 HUDSON DR
SUITE 110
HUDSON, OH
ZIP 44236

(330) 342-4020

MERTES PEDIATRIC DENTISTRY INC.

Dentist

(Pediatric Dentistry)

5655 HUDSON DR
SUITE 300
HUDSON, OH
ZIP 44236

(330) 655-5437

ARIS TELERADIOLOGY PROFESSIONAL CORPORATION

Radiology

(Diagnostic Radiology)

5655 HUDSON DR
SUITE 210
HUDSON, OH
ZIP 44236

(330) 655-3800

UNITY HEALTH NETWORK, LLC

Durable Medical Equipment & Medical Supplies

5655 HUDSON DR
SUITE 315
HUDSON, OH
ZIP 44236

(330) 922-1922

GEOFFREY A AGRONS MD

Radiology

(Pediatric Radiology)

5655 HUDSON DR
SUITE 210
HUDSON, OH
ZIP 44236

(330) 655-3800

PRESTIGE FOOT & ANKLE CENTER LLC

Durable Medical Equipment & Medical Supplies

5655 HUDSON DR
STE 315
HUDSON, OH
ZIP 44236

(330) 591-9635

KRISTINE MARIE MARINELLI M.D.

Psychiatry & Neurology

(Psychiatry)

5655 HUDSON DR
305
HUDSON, OH
ZIP 44236

(330) 650-2111

ARIS RADIOLOGY PROFESSIONAL OF NEW YORK PA

Radiology

(Diagnostic Radiology)

5655 HUDSON DR
SUITE 210
HUDSON, OH
ZIP 44236

(330) 655-3800

SUMMA PHYSICIANS INC

Psychiatry & Neurology

(Psychiatry)

5655 HUDSON DR
SUITE 305
HUDSON, OH
ZIP 44236

(330) 650-2111

SUMMA PHYSICIANS INC

Orthopaedic Surgery

5655 HUDSON DR
SUITE 315
HUDSON, OH
ZIP 44236

(330) 835-5533

KATHERINE MARY GYVES-RAY M.D.

Radiology

(Pediatric Radiology)

5655 HUDSON DR
SUITE 210
HUDSON, OH
ZIP 44236

(330) 655-1874

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063553980, enumerated as an "organization" on February 12, 2007.

The provider is located at 5655 HUDSON DR SUITE 303 HUDSON, OH 44236 and the phone number is (330) 800-4800.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to verify.