Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Old Tyme Family Medicine, LLC

Organization Family Nurse Practitioner · NPI 1114642907

Old Tyme Family Medicine, LLC provides Family Nurse Practitioner services in London, Ohio. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 W High St
London, OH 43140-1050
Phone: (740) 490-7100
Fax: (740) 490-7055
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1114642907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morgan Steiskal — Nurse Practitioner · (740) 490-7100
NPI enumeratedOctober 5, 2022
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing addressPo Box 138, Lewis Center, OH 43035

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