Provider Demographics
NPI:1285765008
Name:ARBOR VIEW FAMILY MEDICINE, INC.
Entity type:Organization
Organization Name:ARBOR VIEW FAMILY MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TOSHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-687-2150
Mailing Address - Street 1:1941 W FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-9671
Mailing Address - Country:US
Mailing Address - Phone:740-689-3627
Mailing Address - Fax:740-687-5898
Practice Address - Street 1:1941 W FAIR AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-9671
Practice Address - Country:US
Practice Address - Phone:740-689-3627
Practice Address - Fax:740-687-5898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207Q00000X305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH389477Medicaid
OH699696Medicaid
OH35041207OtherDR LLOYD MED LIC
OH35055843OtherDR SCOGGIN MED LIC
OH744654Medicaid
OH35053851OtherDR SIELSKI MED LIC
OH744654Medicaid
OH35055843OtherDR SCOGGIN MED LIC
OH1891766259Medicare UPIN
OH1023080298Medicare UPIN
OHA77512Medicare ID - Type UnspecifiedDR LLOYD MEDICARE NUMBER
OH699696Medicaid