| Fairlawn Family Practice Inc. | |
|
50 N Miller Rd Fairlawn OH 44333-3702 | |
| (330) 836-9721 | |
| Not Available |
| Full Name | Fairlawn Family Practice Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 50 N Miller Rd, Fairlawn, Ohio |
| Authorized Official Name and Position | J Joseph Payton (PRESIDENT) |
| Authorized Official Contact | 3308369721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairlawn Family Practice Inc. 50 N Miller Rd Fairlawn OH 44333-3702 Ph: (330) 836-9721 | Fairlawn Family Practice Inc. 50 N Miller Rd Fairlawn OH 44333-3702 Ph: (330) 836-9721 |
| NPI Number | 1306970058 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 5991722118 |
|---|---|
| Medicare Enrollment ID | O20051027000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306970058 | NPI | - | NPPES |
| 0322985 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | J Joseph Payton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215944319 PECOS PAC ID: 4981621109 Enrollment ID: I20090720000264 |
| Provider Name | Douglas L Lefton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205846045 PECOS PAC ID: 6800937889 Enrollment ID: I20100113000374 |
| Provider Name | Vincent Leone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972957397 PECOS PAC ID: 7719267160 Enrollment ID: I20191001002478 |
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