| Family Medicine Care, Llc | |
|
2633 Commons Blvd Ste 120 Beavercreek OH 45431-3827 | |
| (937) 427-8912 | |
| (937) 702-9041 |
| Full Name | Family Medicine Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2633 Commons Blvd Ste 120, Beavercreek, Ohio |
| Authorized Official Name and Position | Troy A Tyner (PRESIDENT) |
| Authorized Official Contact | 9374290607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Care, Llc 2633 Commons Blvd Ste 120 Beavercreek OH 45431-3827 Ph: (937) 427-8912 | Family Medicine Care, Llc 2633 Commons Blvd Ste 120 Beavercreek OH 45431-3827 Ph: (937) 427-8912 |
| NPI Number | 1447291950 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 10/27/2023 |
| Medicare PECOS PAC ID | 2567353881 |
|---|---|
| Medicare Enrollment ID | O20040324000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447291950 | NPI | - | NPPES |
| 2312170 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John W Sawvel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780682146 PECOS PAC ID: 9032000260 Enrollment ID: I20040324001299 |
| Provider Name | Catherine Sargent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811995277 PECOS PAC ID: 6305974072 Enrollment ID: I20100518000016 |
| Provider Name | Sharon Elizabeth Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477098705 PECOS PAC ID: 1759664725 Enrollment ID: I20170217000427 |
| Provider Name | Joshua Pilkenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972043602 PECOS PAC ID: 2668740366 Enrollment ID: I20170621003030 |
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