Provider Demographics
NPI:1679805428
Name:OXFORD FAMILY PRACTICE, INC.
Entity Type:Organization
Organization Name:OXFORD FAMILY PRACTICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-255-0059
Mailing Address - Street 1:5237 MORNING SUN RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-8928
Mailing Address - Country:US
Mailing Address - Phone:513-523-7511
Mailing Address - Fax:513-524-1028
Practice Address - Street 1:5237 MORNING SUN RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-8928
Practice Address - Country:US
Practice Address - Phone:513-523-7511
Practice Address - Fax:513-524-1028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35052335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
52335OtherHUMANA
OH000000031187OtherANTHEM
OH3071867Medicaid
OH3071867Medicaid