Provider Demographics
NPI:1093452773
Name:FAMILYMED PLUS LLC
Entity Type:Organization
Organization Name:FAMILYMED PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE-WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-695-3000
Mailing Address - Street 1:187 W MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1157
Mailing Address - Country:US
Mailing Address - Phone:740-695-3000
Mailing Address - Fax:740-695-6486
Practice Address - Street 1:187 W MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1157
Practice Address - Country:US
Practice Address - Phone:740-695-3000
Practice Address - Fax:740-695-6486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty