OLD TYME FAMILY MEDICINE, LLC
NPI 1114642907
Nurse Practitioner - Family in London, OH

Active since October 05, 2022
57 W HIGH ST, LONDON, OH 43140(740) 490-7100(740) 490-7055 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Oct 5, 2022 (2 updates tracked since 2022).

About Old Tyme Family Medicine, Llc NPPES

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

OLD TYME FAMILY MEDICINE, LLC (NPI 1114642907) is a healthcare organization registered as a family in London, Ohio and active in the NPI registry since October 2022. The organization lists Morgan Steiskal, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1114642907
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOLD TYME FAMILY MEDICINE, LLC
Location Address57 W HIGH STLondon, OH 43140-1050
Mailing AddressPo Box 138Lewis Center, OH 43035 · (740) 490-7100 · Fax (740) 490-7055
Fax(740) 490-7055
Organization SubpartNo
Authorized OfficialMorgan SteiskalNurse Practitioner · (740) 490-7100
Enumeration DateOctober 5, 2022
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
NPI 1114642907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
57 W HIGH ST, London, OH 43140

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

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
57 W HIGH ST
LONDON, OH 43140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Tyme Family Medicine, LLC's NPI number?

The NPI number for Old Tyme Family Medicine, LLC is 1114642907. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Old Tyme Family Medicine, LLC located?

Old Tyme Family Medicine, LLC is located at 57 W High St, London, OH 43140. The listed phone number is (740) 490-7100.

What is Old Tyme Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Old Tyme Family Medicine, LLC accept?

Health plans from Molina Healthcare list Old Tyme Family Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Old Tyme Family Medicine, LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.