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

Old Tyme Family Medicine, LLC

Organization Family Nurse Practitioner · NPI 1114642907

Old Tyme Family Medicine, LLC is a Family Nurse Practitioner 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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