Provider Demographics
NPI:1578673307
Name:NEW FAMILY PHYSICIANS ASSOCIATES INC
Entity Type:Organization
Organization Name:NEW FAMILY PHYSICIANS ASSOCIATES INC
Other - Org Name:FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-449-1014
Mailing Address - Street 1:5187 MAYFIELD ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:440-449-1014
Mailing Address - Fax:440-449-8157
Practice Address - Street 1:5187 MAYFIELD ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124
Practice Address - Country:US
Practice Address - Phone:440-449-1014
Practice Address - Fax:440-449-8157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0380912Medicaid
OH2003156Medicaid
OH1730145103OtherNPI DR. JON RAINEY, M.D.
OH1770557506OtherNPI DR. VLADLEN KIM, M.D.
OH1790724250OtherNPI DR. MARION PRINCE
OH1497729222OtherNPI DR. TERENCE ISAKOV, M.D.
OH1326004334OtherNPI DR. JOHN BERTSCH, M.D.
OH1376526053OtherNPI DR. STEPHEN ARCHACKI, M.D.
OH1013983154OtherNPI MS. SARAH JAKUBOWSKI, P.A.-C
OH1174598551OtherNPI DR. DANIELA PRADA, M.D.
OH1174598551OtherNPI DR. DANIELA PRADA, M.D.
OH1326004334OtherNPI DR. JOHN BERTSCH, M.D.
OH1376526053OtherNPI DR. STEPHEN ARCHACKI, M.D.
OHCD0372Medicare PIN
OH5885530001Medicare PIN
OH1790724250OtherNPI DR. MARION PRINCE
OHNE9287106Medicare PIN
OH1326004334OtherNPI DR. JOHN BERTSCH, M.D.