HEALTHSOURCE OF OHIO, INC. (NPI# 1003862343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003862343 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF OHIO, INC. |
| Other Organization Name | HEALTHSOURCE: BATAVIA FAMILY PRACTICE |
| Practice Address |
2055 Hospital Drive Suite 130 Batavia OH 45103-1946 |
| Mailing Address |
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 |
| Practice Telephone | 5137320870 |
| Practice Fax Number | 5137320873 |
| Mailing Telephone | 5137074041 |
| Mailing Fax Number | 5135761020 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | KIMBERLY PATTON (CEO) |
| Authorized Official Telephone | 5135767700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | CH7473 | 01 |
| OH | 0827216 | 05 |
| Other Name | Type Code |
|---|---|
| HealthSource: Batavia Family Practice | Doing Business As Name - Organization |
| HealthSource: Batavia Family Practice and OB Gyn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1326142480 | Healthsource of Ohio, Inc. | Clinic/Center | 1108 Northview Drive, Suite 1, Hillsboro, OH 45133-8591 | 2006-09-11 |
| 1174555478 | Healthsource of Ohio, Inc. | Clinic/Center | 1108 Northview Dr, Suite 1, Hillsboro, OH 45133-1184 | 2006-07-07 |
| 1306874326 | Healthsource of Ohio, Inc. | Clinic/Center | 6535 Snider Rd, Loveland, OH 45140-9588 | 2006-06-29 |
| 1164458717 | Healthsource of Ohio, Inc. | Clinic/Center | 308 Highland Ave, Ste H, Washington Court House, OH 43160-1819 | 2006-06-24 |
| 1417992330 | Healthsource of Ohio, Inc. | Clinic/Center | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2006-06-17 |
| 1164933362 | Healthsource of Ohio, Inc. | Clinic/Center | 1341 Clough Pike Ste 150, Batavia, OH 45103-2503 | 2017-10-16 |
| 1902325822 | Healthsource of Ohio, Inc. | Clinic/Center | 2055 Hospital Dr Ste 220, Batavia, OH 45103-1964 | 2017-09-12 |
| 1013436930 | Healthsource of Ohio, Inc. | Obstetrics & Gynecology | 2055 Hospital Dr Ste 220, Batavia, OH 45103-1964 | 2017-09-12 |
| 1841624350 | Healthsource of Ohio, Inc. | Clinic/Center | 1231 Columbus Ave, Unit A1, Lebanon, OH 45036-8195 | 2013-09-03 |
| Street Address |
2055 HOSPITAL DRIVE SUITE 130 |
| City | BATAVIA |
| State | OH |
| Zip Code | 45103-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437313 | Robert S. Benintendi | Obstetrics & Gynecology | 2055 Hospital Drive, Suite 130, Batavia, OH 45103-9518 | 2005-06-16 |
| 1548601693 | Elise Anne Evans | Nurse Practitioner | 2055 Hospital Drive, Suite 200, Batavia, OH 45103 | 2013-07-17 |
| 1700150216 | Susan Marie Kasperczyk | Nurse Practitioner | 2055 Hospital Drive, Suite 130, Batavia, OH 45103-3014 | 2012-03-01 |
| 1336419407 | Laura B Osborn-coffey | Social Worker | 2055 Hospital Drive, Suite 130, Batavia, OH 45103 | 2012-01-06 |
| 1760751028 | Valeria Bisig | Nurse Practitioner | 2055 Hospital Drive, Suite 130, Batavia, OH 45103 | 2011-12-15 |
| 1043542673 | Stacey Fletcher | Nurse Practitioner | 2055 Hospital Drive, Suite 130, Batavia, OH 45103-1978 | 2010-02-07 |
| 1467644328 | Jeffrey Lubow | Obstetrics & Gynecology | 2055 Hospital Drive, Suite 130, Batavia, OH 45103-1978 | 2007-08-15 |
| 1194814871 | Rolando Fabi Go | Otolaryngology | 2055 Hospital Drive, Suite 235, Batavia, OH 45103 | 2006-10-12 |
| 1891899951 | Healthsource of Ohio, Inc. | Clinic/Center | 2055 Hospital Drive, Suite 130, Batavia, OH 45103-1946 | 2006-09-11 |
| 1639284284 | Brent Wayne Kinder | Internal Medicine | 2055 Hospital Drive, Suite 200, Batavia, OH 45103-1981 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
| 1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
| 1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
| 1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
| 1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
| 1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
| 1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
| 1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
| 1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
| Find all providers in zip 45103 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1467756908 | Vna Health Care | Clinic/Center | 1343 E Wilson St, #108, Batavia, IL 60510-2277 | 2010-12-24 |
| 1699304972 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 319 W Main St, Batavia, NY 14020-1347 | 2020-04-07 |
| 1013428200 | Healthsource of Ohio Inc | Clinic/Center | 1341 Clough Pike, Batavia, OH 45103-2503 | 2017-10-16 |
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|---|---|---|---|---|
| 1699380725 | Family Health Services of Erie County | Clinic/Center | 209 Lowell St, Castalia, OH 44824-9332 | 2020-09-15 |
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| 1669087649 | Community Health Centers of Greater Dayton | Clinic/Center | 2900 Shiloh Springs Rd, Ste Studio A, Trotwood, OH 45426-2139 | 2020-09-15 |
| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
| 1366068405 | Muskingum Valley Health Centers | Clinic/Center | 225 W Union Ave Ste 100, West Lafayette, OH 43845-1150 | 2020-06-24 |
| 1205452331 | Muskingum Valley Health Centers | Clinic/Center | 58601 Marietta Rd Ste 100, Byesville, OH 43723-9452 | 2020-06-24 |
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.