UNION PHYSICIAN SERVICES, LLC
NPI 1215169826
Family Medicine in Dover, OH

Active since August 14, 2009CLIA 36D2007411 · Waiver
659 BOULEVARD ST, DOVER, OH 44622(330) 364-0805(330) 364-0951 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 23, 2022, Jan 18, 2022 (2 updates tracked since 2022).

About Union Physician Services, Llc NPPES

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

UNION PHYSICIAN SERVICES, LLC (NPI 1215169826) is a healthcare organization registered as a family medicine in Dover, Ohio and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Dennis Laraway, Executive Vp Chief Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1215169826
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNION PHYSICIAN SERVICES, LLC
Location Address659 BOULEVARD STDover, OH 44622-2026
Mailing Address6801 Brecksville Rd, Ste 20, Attn: Dpc Rk2-7Independence, OH 44131-5062
Fax(330) 364-0951
Organization SubpartNo
Authorized OfficialDennis LarawayExecutive Vp Chief Finance Officer · (216) 445-1343
Enumeration DateAugust 14, 2009
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1215169826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
659 BOULEVARD ST, Dover, OH 44622

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Union Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

126

Medicare enrollment records show 126 clinicians reassign Medicare billing to Union Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner43
Family Practice22
Obstetrics/Gynecology15
Cardiovascular Disease (Cardiology)12
General Surgery8
Orthopedic Surgery6
Internal Medicine3
Interventional Radiology3
11 other specialties14

Nearest to this location (20)

See all 126
Nurse Practitioner
NPI 1891219440
659 BOULEVARD ST
Dover, OH 44622
(330) 364-0894
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386752921
659 BOULEVARD ST
Dover, OH 44622
(508) 222-3200
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1568969749
659 BOULEVARD ST
Dover, OH 44622
(330) 343-3311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376991364
659 BOULEVARD ST
Dover, OH 44622
(330) 364-0894
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528646981
205 HOSPITAL DR
Dover, OH 44622
(330) 343-7950
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1255441622
205 HOSPITAL DR
Dover, OH 44622
(330) 343-3335
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1710218433
400 MEDICAL PARK DRIVE SUITE 201
Dover, OH 44622
(330) 343-7709
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1548292527
400 MEDICAL PARK DR STE LL1
Dover, OH 44622
(330) 364-2700
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1457347619
400 MEDICAL PARK DR SUITE 201
Dover, OH 44622
(330) 343-7709
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1124036793
400 MEDICAL PARK DR SUITE 203
Dover, OH 44622
(330) 602-7702
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1497213011
400 MEDICAL PARK DR STE 101
Dover, OH 44622
(330) 343-7581
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1063702371
400 MEDICAL PARK DR STE 201
Dover, OH 44622
(330) 365-9825
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1982050555
400 MEDICAL PARK DR STE LL1
Dover, OH 44622
(330) 440-7900
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1588675490
300 MEDICAL PARK DR STE 103
Dover, OH 44622
(330) 364-2311
✔ PECOS✔ Accepts Medicare0.1 mi
Gynecological Oncology
NPI 1043291735
200 MEDICAL PARK DR SUITE B
Dover, OH 44622
(330) 343-0890
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1225013683
300 MEDICAL PARK DR
Dover, OH 44622
(330) 364-8959
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1912441296
1433 5TH ST NW
New Philadelphia, OH 44663
(330) 343-8171
✔ PECOS✔ Accepts Medicare0.4 mi
Pulmonary Disease
NPI 1689624256
515 UNION AVE SUITE 187
Dover, OH 44622
(330) 343-4411
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1033193347
515 UNION AVE SUITE 187
Dover, OH 44622
(330) 343-4411
✔ PECOS✔ Accepts Medicare0.6 mi
Sports Medicine
NPI 1609453737
515 UNION AVE STE 167
Dover, OH 44622
(330) 343-3335
✔ PECOS✔ Accepts Medicare0.6 mi
See all 126 clinicians

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 36D2007411

Union Physician Services Famp-Central · Dover, OH
Active · expires Sep 30, 2027
CLIA Number36D2007411
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorMason Page
Laboratory Phone(330) 343-7950
Laboratory LocationUnion Physician Services Famp-Central205 Hospital Drive, Dover, OH 44622
CLIA data matches this NPI record on: Name
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 Union Physician Services, LLC's NPI number?

The NPI number for Union Physician Services, LLC is 1215169826. It was assigned to this organization in the NPPES registry on August 14, 2009.

Where is Union Physician Services, LLC located?

Union Physician Services, LLC is located at 659 Boulevard St, Dover, OH 44622. The listed phone number is (330) 364-0805.

What is Union Physician Services, LLC's specialty?

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

Is Union Physician Services, LLC enrolled in Medicare?

Yes. Union Physician Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Union Physician Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 126 clinicians in 19 Medicare specialties reassign their Medicare billing to Union Physician Services, 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 Nurse Practitioner (43), Family Practice (22) and Obstetrics/Gynecology (15). Of these, 4 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Union Physician Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2007411) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Union Physician Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Union Physician Services, 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 Union Physician Services, LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.