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SYRACUSE FAMILY PRACTICE, LLC
NPI 1770613879
Family Medicine in Syracuse, IN

Active since March 07, 2007CLIA 15D0356972 · Microscopy
1033 N INDIANA AVE, SYRACUSE, IN 46567(574) 457-5701(574) 457-5609 Get Directions Write a Review

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

About Syracuse Family Practice, Llc NPPES

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

SYRACUSE FAMILY PRACTICE, LLC (NPI 1770613879) is a healthcare organization registered as a family medicine in Syracuse, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 29, 2026 and lists Larry D Allen, Owner, as its authorized official.

NPPES Registry Identity

NPI1770613879
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSYRACUSE FAMILY PRACTICE, LLC
Location Address1033 N INDIANA AVESyracuse, IN 46567-1017
Mailing Address1033 N Indiana AveSyracuse, IN 46567-1017 · (574) 457-5701 · Fax (574) 457-5609
Phone(574) 457-5701
Fax(574) 457-5609
Organization SubpartNo
Authorized OfficialLarry D AllenOwner · (574) 457-5701
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770613879 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.
1033 N INDIANA AVE, Syracuse, IN 46567
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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

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) 15D0356972

Syracuse Family Practice · Syracuse, IN
Active · expires Aug 29, 2026
CLIA Number15D0356972
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorLarry D. Allen
Laboratory Phone(574) 457-5701
Laboratory LocationSyracuse Family Practice1033 N Indiana Ave, Syracuse, IN 46567
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 8

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

STEPHANIE LYNNE MCNAMARA NP-C
Nurse Practitioner
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701
FALON KUHN NP-C
Nurse Practitioner (Family)
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701
LINDSAY B BONAVENTURA NP
Nurse Practitioner (Family)
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701
MATTHEW WELLS MD
Family Medicine
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701
KARLA TROYER DO
Family Medicine
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701
GOSHEN HEALTH SYSTEM, INC
Family Medicine
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701
GARY W TROWBRIDGE PA
Physician Assistant
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701
LARRY D ALLEN MD
Family Medicine
1033 N INDIANA AVE
SYRACUSE, IN 46567
Kosciusko County (574) 457-5701

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 Syracuse Family Practice, LLC's NPI number?

The NPI number for Syracuse Family Practice, LLC is 1770613879. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Syracuse Family Practice, LLC located?

Syracuse Family Practice, LLC is located at 1033 N Indiana Ave, Syracuse, IN 46567. The listed phone number is (574) 457-5701.

What is Syracuse Family Practice, LLC's specialty?

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

Does Syracuse Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0356972) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Syracuse Family Practice, LLC 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.