FAIRBORN FAMILY PRACTICE ASSOC – Family Medicine Physician, NPI 1548224579

FAIRBORN FAMILY PRACTICE ASSOC is a healthcare provider. based in Fairborn, Ohio. specializing in Family Medicine Physician. The organization holds a License No. 34002102P (OH). The NPI Number for FAIRBORN FAMILY PRACTICE ASSOC is 1548224579

Main info

Organization
Name
FAIRBORN FAMILY PRACTICE ASSOC
NPI
1548224579
Phone
(937) 878-8644
Address
850 E XENIA DRIVE
Authorized Official
JOHN JOSEPH PETERANGELO PRESIDENT DO
Enumeration Date
14 April 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FAIRBORN FAMILY PRACTICE ASSOC

  • 850, East Xenia Drive, Fairborn, Greene County, Ohio, 45324, United States

    SUITE 600

    FAIRBORN, OH 453248760

    Phone: (937) 878-8644

    Fax: (937) 878-8646

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45324)

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Reviews

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Frequently asked questions

Can I verify FAIRBORN FAMILY PRACTICE ASSOC with an NPI only?
You can start verification with NPI 1548224579 for FAIRBORN FAMILY PRACTICE ASSOC, then check state licensing separately.
Is FAIRBORN FAMILY PRACTICE ASSOC listed as active for patients and plans?
The listing shows FAIRBORN FAMILY PRACTICE ASSOC as active in the NPI system.
What healthcare role does FAIRBORN FAMILY PRACTICE ASSOC hold?
Scheduling teams often label FAIRBORN FAMILY PRACTICE ASSOC under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for FAIRBORN FAMILY PRACTICE ASSOC?
FAIRBORN FAMILY PRACTICE ASSOC's geographic hint is Fairborn, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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