MAIN STREET FAMILY PRACTICE INC
NPI 1093864035
Family Medicine in Dayton, OH

Q: What is Main Street Family Practice Inc's NPI number?

The NPI number for Main Street Family Practice Inc is 1093864035. It was assigned to this organization in the NPPES registry on January 9, 2007.

Q: What is Main Street Family Practice Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 09, 2007CLIA 36D0349520 · Microscopy

9000 NORTH MAIN STREET, SUITE 403, DAYTON, OH 45415(937) 836-5171(937) 832-0728 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Main Street Family Practice Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET FAMILY PRACTICE INC (NPI 1093864035) is a healthcare organization registered as a family medicine in Dayton, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Martin K Fujimura, President, as its authorized official.

NPPES Registry Identity

NPI1093864035

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMAIN STREET FAMILY PRACTICE INC

Location Address9000 NORTH MAIN STREET, SUITE 403Dayton, OH 45415-1180

Mailing Address9000 North Main Street, Suite 403Dayton, OH 45415-1180 · (937) 836-5171 · Fax (937) 832-0728

Phone(937) 836-5171

Fax(937) 832-0728

Organization SubpartNo

Authorized OfficialMartin K FujimuraPresident · (937) 836-5171

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJuly 21, 2022

✔ NPI 1093864035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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 is not limited by age, sex, organ system, or disease entity.

9000 NORTH MAIN STREET, Dayton, OH 45415

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Other Identifiers 2

Medicaid0668433OH

Other00000013156Anthem Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0349520

Main Street Family Practice Inc · Dayton, OH

Active · expires Aug 31, 2026

CLIA Number36D0349520

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorMartin K. Fujimara

Laboratory Phone(937) 836-5171

Laboratory LocationMain Street Family Practice Inc9000 N Main Street Suite 403, Dayton, OH 45415

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY MICHAEL YOURA MD

Pediatrics (Adolescent Medicine)