Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairborn Family Practice Assoc

Organization Family Medicine Physician · NPI 1548224579

Fairborn Family Practice Assoc provides Family Medicine Physician services in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006

Practice location Address checks out

850 E Xenia Dr Ste 600
Fairborn, OH 45324-8760
Phone: (937) 878-8644
Fax: (937) 878-8646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34002102P (OH)

Record details

NPI number1548224579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Peterangelo — President · (937) 878-8644
NPI enumeratedApril 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address850 E Xenia Drive, Suite 600, Fairborn, OH 45324-8760

Other providers in Fairborn