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SALEM FAMILY CARE LLC
NPI 1205692498
Family Medicine in Salem, OH

Active since February 26, 2024CLIA 36D2300858 · Waiver
718 E 3RD ST, SALEM, OH 44460(330) 639-0880(330) 639-0880 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Salem Family Care Llc NPPES

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

SALEM FAMILY CARE LLC (NPI 1205692498) is a healthcare organization registered as a family medicine in Salem, Ohio and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Shannon P Whitehill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205692498
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSALEM FAMILY CARE LLC
Location Address718 E 3RD STSalem, OH 44460-2915
Mailing Address718 E 3rd StSalem, OH 44460-2915 · (330) 639-0880 · Fax (330) 639-0880
Phone(330) 639-0880
Fax(330) 639-0880
Organization SubpartNo
Authorized OfficialShannon P WhitehillOffice Manager · (330) 639-0880
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 25, 2024
✔ NPI 1205692498 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.
718 E 3RD ST, Salem, OH 44460
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Salem Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Salem Family Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Brianne Bagwell, M.D.
Family Practice
NPI 1730435975
718 E 3RD ST
Salem, OH 44460
(330) 639-0880
✔ PECOS✔ Accepts MedicareSame address
Joseph Rousher, D.O.
Family Practice
NPI 1568738193
718 E 3RD ST
Salem, OH 44460
(330) 639-0880
✔ PECOS✔ Accepts MedicareSame address
Michael Sevilla, M.D.
Family Practice
NPI 1114032901
2370 SOUTHEAST BLVD
Salem, OH 44460
(330) 332-9961
✔ PECOS✔ Accepts Medicare1.2 mi
Rachel Carbon, FNP-BC
Nurse Practitioner
NPI 1710473384
1011 BOARDMAN CANFIELD RD
Youngstown, OH 44512
(330) 629-2888
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 of Waiver 36D2300858

Salem Family Care LLC · Salem, OH
Active · expires Mar 17, 2028
CLIA Number36D2300858
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorMichael J. Sevilla
Laboratory Phone(330) 639-0880
Laboratory LocationSalem Family Care LLC718 East Third Street, Salem, OH 44460
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Salem Family Care LLC's NPI number?

The NPI number for Salem Family Care LLC is 1205692498. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Salem Family Care LLC located?

Salem Family Care LLC is located at 718 E 3rd St, Salem, OH 44460. The listed phone number is (330) 639-0880.

What is Salem Family Care LLC's specialty?

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

Is Salem Family Care LLC enrolled in Medicare?

Yes. Salem Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Salem Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Salem Family Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Salem Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2300858) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Salem Family Care LLC was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.