Provider Demographics
NPI:1508937020
Name:SHARON FAMILY PHYSICIANS, INC.
Entity Type:Organization
Organization Name:SHARON FAMILY PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ZEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-239-4455
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:5133 RIDGE ROAD
Mailing Address - City:SHARON CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:44274-0370
Mailing Address - Country:US
Mailing Address - Phone:330-239-4455
Mailing Address - Fax:330-239-4456
Practice Address - Street 1:5133 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-0370
Practice Address - Country:US
Practice Address - Phone:330-239-4455
Practice Address - Fax:330-239-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2156625Medicaid
OH2156625Medicaid