# MACHUCA MEDICAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Machuca Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053861369
- **Authorized official:** DR. JENNIFER LYNN MACHUCA MD (OWNER/ SOLO PHYSICIAN)
- **Authorized official phone:** (937) 795-1101

## Contact information

- **Practice address:** 8648 OLD TROY PIKE STE A, HUBER HEIGHTS, OH 45424-1057
- **Practice address phone:** (937) 795-1101
- **Practice address fax:** (937) 795-1120
- **Mailing address:** 8648 OLD TROY PIKE STE A, HUBER HEIGHTS, OH 45424-1057
- **Mailing address phone:** (937) 795-1101
- **Mailing address fax:** (937) 795-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 92123 | OH | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 07/06/2026