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

Sugarcreek Physician Services, LLC

Organization Internal Medicine Physician · NPI 1053256990

Sugarcreek Physician Services, LLC is an Internal Medicine Physician in Mount Vernon, Ohio. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
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

1330 Coshocton Ave
Mount Vernon, OH 43050-1495
Phone: (740) 393-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Hospitalist Physician Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1053256990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vice President · (337) 609-1221
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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