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SANDUSKY FAMILY PRACTICE INC
NPI 1396816708
Family Medicine in Sandusky, OH

Active since November 10, 2006CLIA 36D0709272 · Microscopy
3103 CAMPBELL ST, SANDUSKY, OH 44870(419) 625-4461(419) 625-5199 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandusky Family Practice Inc NPPES

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

SANDUSKY FAMILY PRACTICE INC (NPI 1396816708) is a healthcare organization registered as a family medicine in Sandusky, Ohio and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through March 31, 2028 and lists James Jefferson Wysor, Physician, as its authorized official.

NPPES Registry Identity

NPI1396816708
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANDUSKY FAMILY PRACTICE INC
Location Address3103 CAMPBELL STSandusky, OH 44870-7230
Mailing Address3103 Campbell StSandusky, OH 44870-7230 · (419) 625-4461 · Fax (419) 625-5199
Phone(419) 625-4461
Fax(419) 625-5199
Organization SubpartNo
Authorized OfficialJames Jefferson WysorPhysician · (419) 625-4461
Enumeration DateNovember 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396816708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-047619
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.
3103 CAMPBELL ST, Sandusky, OH 44870
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Other Identifiers 5

Other000000131843OH · Anthem
Other04375OH · Paramount
Other20636020100OH · Bwc
Medicaid0538681OH
Other206360201001OH · Med Mutual Of Ohio

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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) 36D0709272

Sandusky Family Practice Inc · Sandusky, OH
Active · expires Mar 31, 2028
CLIA Number36D0709272
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorRichard R. Keller
Laboratory Phone(419) 625-4461
Laboratory LocationSandusky Family Practice Inc3103 Campbell Street, Sandusky, OH 44870
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 2

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

DR. RICHARD RALPH KELLER MD
Family Medicine
3103 CAMPBELL ST
SANDUSKY, OH 44870
Erie County (419) 625-4461
DR. JAMES JEFFERSON WYSOR MD
Family Medicine
3103 CAMPBELL ST
SANDUSKY, OH 44870
Erie County (419) 625-4461

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 Sandusky Family Practice Inc's NPI number?

The NPI number for Sandusky Family Practice Inc is 1396816708. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Sandusky Family Practice Inc located?

Sandusky Family Practice Inc is located at 3103 Campbell St, Sandusky, OH 44870. The listed phone number is (419) 625-4461.

What is Sandusky Family Practice Inc's specialty?

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

Does Sandusky Family Practice Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0709272) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sandusky Family Practice Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sandusky Family Practice Inc 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 Sandusky Family Practice Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.