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.
Organization
NORTHRIDGE FAMILY PRACTICE LLC
Active
Organization
NORTHRIDGE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH LEA LEWIS (OFFICE MANAGER)
(740) 474-3159
Entity
Organization
Contact information
Practice address
610 NORTHRIDGE RD, CIRCLEVILLE, OH 43113
(740) 474-3159
(740) 474-2110
Mailing address
610 NORTHRIDGE RD, PO BOX 578, CIRCLEVILLE, OH 43113
(740) 474-3159
(740) 474-2110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35042158B
OH
207Q00000X
Family Medicine Physician
350463858
OH
207Q00000X
Family Medicine Physician
35053974M
OH
207Q00000X
Family Medicine Physician
35071002J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2211430
—
OH
Enumeration date
11/10/2005
Last updated
12/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up