OrganizationActive
Main Street Family Practice Inc
NPI 1093864035 · Family Medicine Physician · Dayton, OH
Provider details
- NPI number
- 1093864035
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martin Fujimura, President(937) 836-5171
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9000 North Main Street
Suite 403
Dayton, OH 45415-1180
Phone: (937) 836-5171
Fax: (937) 832-0728
Street-level locationGet directions
Mailing address
9000 North Main Street
Dayton, OH 45415-1180
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.