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FAIRBORN FAMILY PRACTICE ASSOC
NPI 1548224579
Family Medicine in Fairborn, OH

Active since April 14, 2006
850 E XENIA DRIVE, SUITE 600, FAIRBORN, OH 45324(937) 878-8644(937) 878-8646 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fairborn Family Practice Assoc NPPES

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

FAIRBORN FAMILY PRACTICE ASSOC (NPI 1548224579) is a healthcare organization registered as a family medicine in Fairborn, Ohio and active in the NPI registry since April 2006. The organization lists John Joseph Peterangelo, President, as its authorized official.

NPPES Registry Identity

NPI1548224579
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRBORN FAMILY PRACTICE ASSOC
Location Address850 E XENIA DRIVE, SUITE 600Fairborn, OH 45324-8760
Mailing Address850 E Xenia Drive, Suite 600Fairborn, OH 45324-8760 · (937) 878-8644 · Fax (937) 878-8646
Phone(937) 878-8644
Fax(937) 878-8646
Organization SubpartNo
Authorized OfficialJohn Joseph PeterangeloPresident · (937) 878-8644
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1548224579 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 · 34002102P
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.
850 E XENIA DRIVE, Fairborn, OH 45324
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Other Identifiers 3

Other000000005178OH · Anthem Bcbs
Other0003193Tricare
Medicaid0220513OH

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

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 Fairborn Family Practice Assoc's NPI number?

The NPI number for Fairborn Family Practice Assoc is 1548224579. It was assigned to this organization in the NPPES registry on April 14, 2006.

Where is Fairborn Family Practice Assoc located?

Fairborn Family Practice Assoc is located at 850 E Xenia Drive Suite 600, Fairborn, OH 45324. The listed phone number is (937) 878-8644.

What is Fairborn Family Practice Assoc's specialty?

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

When was this NPI record last updated?

The NPPES record for Fairborn Family Practice Assoc 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 6 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.