DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ADVANCED FAMILY MEDICINE LLC

MEDICARE: ADVANCED FAMILY MEDICINE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0800XRecovery Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101-8755OTHEROHOHIO DEPARTMENT OF MENTAL HEALTH

General Provider Information

NPI Number : 1376287268
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED FAMILY MEDICINE LLC
Provider Business Mailing Address
First Line : 4160 BROADWAY
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-3024
Country : US
Telephone Number : 614-594-3080
Fax Number :
Provider Business Practice Location Address
First Line : 4160 BROADWAY
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-3024
Country : US
Telephone Number : 614-594-3080
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAMES CAMERON JOHNSON
Credential : DO
Telephone Number : 614-875-0079
Provider Enumeration Date : 04/26/2022
Last Update Date : 04/26/2022

Similar Medicare Providers

1437378429 — MS. SARA KENNEDY LICDC-CS
Practice Location Address:
4160 BROADWAY
GROVE CITY, OH
43123-3024
Practice Phone: 614-875-0079
Practice Fax: 614-875-2008
1417139338 — ADVANCED FAMILY MEDICINE LLC
Practice Location Address:
4160 BROADWAY
GROVE CITY, OH
43123-3024
Practice Phone: 614-875-0079
Practice Fax: 614-875-2008
1851891279 — ADVANCED FAMILY MEDICINE LLC
Practice Location Address:
4160 BROADWAY
GROVE CITY, OH
43123-3024
Practice Phone: 614-875-0079
Practice Fax:
1346984242 — ADVANCED FAMILY MEDICINE LLC
Practice Location Address:
4160 BROADWAY
GROVE CITY, OH
43123-3024
Practice Phone: 614-875-0079
Practice Fax:
1235861949 — THERESA M DANIELS CDCA
Practice Location Address:
4160 BROADWAY
GROVE CITY, OH
43123-3024
Practice Phone: 614-875-0079
Practice Fax:
1134061872 — MELISSA STEWART
Practice Location Address:
4160 BROADWAY
GROVE CITY, OH
43123-3024
Practice Phone: 614-565-2872
Practice Fax:

Directions to “ADVANCED FAMILY MEDICINE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.