PROSPECT FAMILY MEDICINE, INC.
NPI 1487895967
Clinic/Center - Primary Care in Prospect, OH

Active since March 13, 2009CLIA 36D0954041 · Microscopy
102 WATER STREET, PROSPECT, OH 43342(740) 494-2624(740) 494-9013 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prospect Family Medicine, Inc. NPPES

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

PROSPECT FAMILY MEDICINE, INC. (NPI 1487895967) is a healthcare organization registered as a primary care in Prospect, Ohio and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through May 24, 2028 and lists Mark John Piacentini, President, as its authorized official.

NPPES Registry Identity

NPI1487895967
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROSPECT FAMILY MEDICINE, INC.
Location Address102 WATER STREETProspect, OH 43342
Mailing Address102 E Water Street, Post Office Box 203Prospect, OH 43342-0203 · (740) 494-2624 · Fax (740) 494-9013
Fax(740) 494-9013
Organization SubpartNo
Authorized OfficialMark John PiacentiniPresident · (740) 494-2624
Enumeration DateMarch 13, 2009
Last NPPES UpdateMay 17, 2013
NPI 1487895967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in OH · 35054820P
102 WATER STREET, Prospect, OH 43342

Other Identifiers 3

Medicaid0669174OH
Medicare UPINA16905OH
Medicare PIN0598667OH

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 for Provider-Performed Microscopy Procedures (PPMP) 36D0954041

Prospect Family Medicine · Prospect, OH
Active · expires May 24, 2028
CLIA Number36D0954041
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorMark J. Piacentini
Laboratory Phone(740) 494-2624
Laboratory LocationProspect Family Medicine102 E Water Street, Prospect, OH 43342
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.

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 Prospect Family Medicine, Inc.'s NPI number?

The NPI number for Prospect Family Medicine, Inc. is 1487895967. It was assigned to this organization in the NPPES registry on March 13, 2009.

Where is Prospect Family Medicine, Inc. located?

Prospect Family Medicine, Inc. is located at 102 Water Street, Prospect, OH 43342. The listed phone number is (740) 494-2624.

What is Prospect Family Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Prospect Family Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0954041) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prospect Family Medicine, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Prospect Family Medicine, 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 Prospect Family Medicine, Inc. was last updated on May 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.