MAPLE LEAF FAMILY AND SPORTS MEDICINE, LLC
NPI 1447328067
Family Medicine in Bellefontaine, OH

Active since December 01, 2006CLIA 36D0944729 · Waiver
2211 TIMBER TRAIL, BELLEFONTAINE, OH 43311(937) 592-3808(937) 593-8404 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Maple Leaf Family And Sports Medicine, Llc NPPES

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

MAPLE LEAF FAMILY AND SPORTS MEDICINE, LLC (NPI 1447328067) is a healthcare organization registered as a family medicine in Bellefontaine, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Boyd C Hoddinott, Partner, as its authorized official.

NPPES Registry Identity

NPI1447328067
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAPLE LEAF FAMILY AND SPORTS MEDICINE, LLC
Location Address2211 TIMBER TRAILBellefontaine, OH 43311
Mailing Address2211 Timber TrailBellefontaine, OH 43311 · (937) 592-3808 · Fax (937) 593-8404
Fax(937) 593-8404
Organization SubpartNo
Authorized OfficialBoyd C HoddinottPartner · (937) 592-3808
Enumeration DateDecember 1, 2006
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1447328067 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.
2211 TIMBER TRAIL, Bellefontaine, OH 43311

Other Identifiers 1

Medicaid2225827OH

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

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 36D0944729

Maple Leaf Family & Sports Medicine LLC · Bellefontaine, OH
Active · expires Jan 31, 2028
CLIA Number36D0944729
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorJohn C. O'connor
Laboratory Phone(937) 592-3808
Laboratory LocationMaple Leaf Family & Sports Medicine LLC2211 Timber Trail, Bellefontaine, OH 43311
CLIA data matches this NPI record on: Address 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 Maple Leaf Family And Sports Medicine, LLC's NPI number?

The NPI number for Maple Leaf Family And Sports Medicine, LLC is 1447328067. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Maple Leaf Family And Sports Medicine, LLC located?

Maple Leaf Family And Sports Medicine, LLC is located at 2211 Timber Trail, Bellefontaine, OH 43311. The listed phone number is (937) 592-3808.

What is Maple Leaf Family And Sports Medicine, LLC's specialty?

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

Does Maple Leaf Family And Sports Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0944729) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maple Leaf Family And Sports Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Maple Leaf Family And Sports 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 Maple Leaf Family And Sports Medicine, LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.