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MACKE FAMILY PRACTICE LLC
NPI 1730816810
Family Medicine in Sidney, OH

Active since August 08, 2022CLIA 36D2269545 · Waiver
1025 FAIR RD, SIDNEY, OH 45365(937) 492-1352(937) 492-1353 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2022, Aug 8, 2022 (2 updates tracked since 2022).

About Macke Family Practice Llc NPPES

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

MACKE FAMILY PRACTICE LLC (NPI 1730816810) is a healthcare organization registered as a family medicine in Sidney, Ohio and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Dawn Diane Macke, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1730816810
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMACKE FAMILY PRACTICE LLC
Location Address1025 FAIR RDSidney, OH 45365-8947
Mailing Address1025 Fair RdSidney, OH 45365-8947 · (937) 492-1352 · Fax (937) 492-1353
Phone(937) 492-1352
Fax(937) 492-1353
Organization SubpartNo
Authorized OfficialDawn Diane MackeNurse Practitioner · (937) 492-1352
Enumeration DateAugust 8, 2022
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1730816810 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.
1025 FAIR RD, Sidney, OH 45365
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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

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 of Waiver 36D2269545

Macke Family Practice, LLC · Sidney, OH
Active · expires Sep 27, 2026
CLIA Number36D2269545
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorMs. Dawn D. Macke Aprn Cnp
Laboratory Phone(937) 492-1352
Laboratory LocationMacke Family Practice, LLC1025 Fair Road, Sidney, OH 45365
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RACHELLE J COOK LSW
Counselor (Mental Health)
1025 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 492-1352
DAWN MACKE
Nurse Practitioner (Family)
1025 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 492-1352
ALLIED UROLOGY INC
Urology
1025 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 710-4510

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 Macke Family Practice LLC's NPI number?

The NPI number for Macke Family Practice LLC is 1730816810. It was assigned to this organization in the NPPES registry on August 8, 2022.

Where is Macke Family Practice LLC located?

Macke Family Practice LLC is located at 1025 Fair Rd, Sidney, OH 45365. The listed phone number is (937) 492-1352.

What is Macke Family Practice LLC's specialty?

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

Does Macke Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2269545) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Macke Family Practice LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Macke Family Practice 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 Macke Family Practice LLC was last updated on September 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.