HEALTHSOURCE OF OHIO, INC. (NPI# 1255372207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255372207 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF OHIO, INC. |
| Other Organization Name | HEALTHSOURCE: GEORGETOWN PEDIATRICS AND FAMILY PRACTICE |
| Practice Address |
631 E State St Georgetown OH 45121-1437 |
| Mailing Address |
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 |
| Practice Telephone | 9373786387 |
| Practice Fax Number | 9373784253 |
| Mailing Telephone | 5137074041 |
| Mailing Fax Number | 5135761020 |
| Enumeration Date | 2006-06-09 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0836662 | 05 | |
| OH | RAILROAD MEDICARE | CH7473 | 01 |
| Other Name | Type Code |
|---|---|
| HealthSource: Georgetown Pediatrics and Family Practice | 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 |
631 E STATE ST |
| City | GEORGETOWN |
| State | OH |
| Zip Code | 45121-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376796 | Anya C. Bauman | Pediatrics | 631 E State St, Georgetown, OH 45121-1437 | 2005-06-16 |
| 1316432834 | Melissa N Wright | Nurse Practitioner | 631 E State St, Georgetown, OH 45121 | 2018-06-27 |
| 1023519485 | Amanda Strub | Nurse Practitioner | 631 E State St, Georgetown, OH 45121-1437 | 2018-02-21 |
| 1740627488 | Bradley Jay Stokes | Family Medicine | 631 E State St, Georgetown, OH 45121-1437 | 2013-06-03 |
| 1841541034 | Dena Richter | Nurse Practitioner | 631 E State St, Georgetown, OH 45121 | 2012-09-27 |
| 1679803381 | Josie Ann Gast | Physician Assistant | 631 E State St, Georgetown, OH 45121-1437 | 2009-12-31 |
| 1700980869 | Healthsource of Ohio, Inc. | Clinic/Center | 631 E State St, Georgetown, OH 45121-1437 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417324609 | Jennifer A Shaw | Psychologist | 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121 | 2015-08-24 |
| 1760880926 | Ashley Marcia Gardner-attinger | Personal Emergency Response Attendant | 9321-b Hamer Rd, Georgetown, OH 45121 | 2014-12-19 |
| 1447686753 | Ivan D Mcfann Jr. | Licensed Practical Nurse | 10778 Rolling Acres Drive, Georgetown, OH 45121 | 2013-09-18 |
| 1851651798 | Pamela J Kelch | Registered Nurse | 17 Wood Cliff Way, Georgetown, OH 45121 | 2012-05-25 |
| 1194027557 | Adams Brown Counties Economic Oppt Inc | Clinic/Center | 406 W. Plum Street, Georgetown, OH 45121 | 2010-11-17 |
| 1255590972 | Nancy Taylor | Home Health Aide | 201 Meadow Spring Dr, Georgetown, OH 45121 | 2008-06-06 |
| 1770796658 | Gwen S Courts | Counselor | 12525 New Hope White Oak Station Rd, Georgetown, OH 45121 | 2007-05-08 |
| 1770511511 | Southern Ohio Health Services Network | Obstetrics & Gynecology | 5162 St. Rt. 125, Georgetown, OH 45121 | 2006-06-29 |
| 1073513206 | Georgetown Volunteer Life Squad Association | Ambulance | 821 Mt. Orab Pike, Georgetown, OH 45121 | 2005-07-29 |
| 1700881653 | Ene G George | Obstetrics & Gynecology | 5162 St Rt, Georgetown, OH 45121 | 2005-06-16 |
| Find all providers in zip 45121 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104971464 | Careconnect Health, Inc | Clinic/Center | 23 Old School Rd, Georgetown, GA 39854-4627 | 2007-01-24 |
| 1962410613 | Careconnect Health, Inc. | Clinic/Center | 23 Old School Road, Georgetown, GA 39854-4627 | 2006-08-04 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1538670419 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave Ste 200, Georgetown, TX 78626-6821 | 2017-10-18 |
| 1316345846 | St James Santee Family Health Center Inc | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-12-16 |
| 1972866200 | Lone Star Circle of Care | Clinic/Center | 1900 Scenic Dr, Suite 3326, Georgetown, TX 78626-7724 | 2012-06-21 |
| 1669603361 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-07-30 |
| 1437390705 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-03-17 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1962683599 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 45121 |
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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.