Provider Demographics
NPI:1376725622
Name:ARMSTRONG FAMILY MEDICINE LLC
Entity Type:Organization
Organization Name:ARMSTRONG FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-674-7840
Mailing Address - Street 1:1251 KEMPER MEADOW DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-4121
Mailing Address - Country:US
Mailing Address - Phone:513-674-7840
Mailing Address - Fax:513-674-7842
Practice Address - Street 1:1251 KEMPER MEADOW DR
Practice Address - Street 2:SUITE 700
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-4121
Practice Address - Country:US
Practice Address - Phone:513-674-7840
Practice Address - Fax:513-674-7842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-056729207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAR9333261Medicare PIN