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Export Provider Record NPI 1265436927
Waterville Family Physicians Inc.
Organization Subpart: NO
Active
NPI Number1265436927
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1265436927
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-06-10
Last Updated2020-08-22
Authorized OfficialMark Bruss
President
Phone: 4198782026
Mailing Address900 Waterville Monclova Rd, Ste A
Waterville, OH 43566-1169
United States
Phone: (419) 878-2026 | Fax: (419) 878-3236
📍 View Map
Primary Practice Address900 Waterville Monclova Rd, Ste A
Waterville, OH 43566-1169
United States
Phone: (419) 878-2026 | Fax: (419) 878-3236
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH2281909-
Other (non-Medicare)OH=========1200medical mutual
Other (non-Medicare)OHCC0115rr medicare
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineOH00539321
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About NPI 1265436927

Waterville Family Physicians Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1265436927. The primary specialty listed is Family Medicine. The organization is located in Waterville, OH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265436927?

NPI 1265436927 belongs to Waterville Family Physicians Inc., a Family Medicine in Waterville, OH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265436927 active?

The current status of NPI 1265436927 in the NPPES registry is Active. The record was last updated on 2020-08-22.

What specialty is NPI 1265436927?

NPI 1265436927 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265436927?

You can verify NPI 1265436927 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265436927?

The primary practice address on file for NPI 1265436927 is 900 Waterville Monclova Rd, Waterville, OH 43566-1169. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265436927 issued?

NPI 1265436927 was first issued (enumerated) on 2005-06-10. The NPPES record was last updated on 2020-08-22.

Practice Location Map

Waterville Family Physicians Inc. is located at 900 Waterville Monclova Rd, Waterville, OH. Use the map below to find directions or verify the practice location.

📍 900 Waterville Monclova Rd, Waterville, OH 43566-1169  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Waterville Family Physicians Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1265436927. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine00539321OH
Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162