MR. BRADLEY WAYNE CLAGHORN JR. (NPI# 1629325071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629325071 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY WAYNE CLAGHORN JR. |
| Practice Address |
4322 Bellemead Dr Bellbrook OH 45305-1407 |
| Practice Telephone | 9378482568 |
| Enumeration Date | 2012-08-04 |
| Last Update Date | 2016-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
4322 BELLEMEAD DR |
| City | BELLBROOK |
| State | OH |
| Zip Code | 45305-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715727 | Cynthia Gebhart | Nurse Practitioner | 2450 Ferry Road, Bellbrook, OH 45305 | 2019-01-31 |
| 1952690810 | Neal Mehan | Neurological Surgery | 480 Sugarbrook Trl, Bellbrook, OH 45305 | 2011-03-31 |
| 1285792358 | John P Harmeyer | Dentist | 4291 Sugarcreek Dr, Bellbrook, OH 45305 | 2006-12-04 |
| 1548337850 | Douglas A Songer | Psychiatry & Neurology | 4301 St Rt 725, Ste B, Bellbrook, OH 45305 | 2006-11-29 |
| 1639250145 | David Scott Nicholson | Obstetrics & Gynecology | 4403 State Route 725 Ste A1, Bellbrook, OH 45305 | 2006-10-18 |
| 1568491306 | Richard Alan Welfare | Dentist | 4120 West Franklin St, Bellbrook, OH 45305 | 2006-07-02 |
| 1821398777 | Eric Bletzinger | Registered Nurse | 1930 N Lakeman Dr, Bellbrook, OH 45305 | 2010-10-26 |
| 1699317610 | Jessica Lynn Duke | Nurse Practitioner | 1930 N Lakeman Dr Ste 109, Bellbrook, OH 45305-1200 | 2019-10-10 |
| 1003815762 | 1957 N. Lakeman Avenue Operating Company, LLC | Skilled Nursing Facility | 1957 N Lakeman Dr, Bellbrook, OH 45305-1212 | 2005-07-15 |
| 1366511503 | William Charles Dahling | Dentist | 1964 N Lakeman Dr, Bellbrook, OH 45305-1229 | 2006-11-06 |
| Find all providers in zip 45305 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518703 | Matthew Gaylor | Technician | 6 Coral Cir, Belpre, OH 45714-1553 | 2020-11-08 |
| 1245831916 | Nicole Bosworth | Technician | 5718 Rousseau Dr, Huber Heights, OH 45424-4329 | 2020-11-08 |
| 1104427863 | Amanda Jo Simulcik | Technician | 3933 Courtyard Dr, Lorain, OH 44053-4431 | 2020-11-07 |
| 1386245025 | Virginia A Patton | Technician | 40560 Burlingham Rd Bsmt, Shade, OH 45776-9556 | 2020-11-07 |
| 1487255261 | Lori Danielle Hann | Technician | 361 York Ave, Delaware, OH 43015-1578 | 2020-11-06 |
| 1346841137 | Jamison Ward Howell | Technician | 300 W Cross St, Morristown, OH 43759-0134 | 2020-11-06 |
| 1154922078 | Shannon Sebring | Technician | 16837 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093316002 | William Patrick Gay | Technician | 134 Smith St, Portsmouth, OH 45662-8766 | 2020-11-05 |
| 1780285684 | Brenda Mcallister | Technician | 10089 High St, Rarden, OH 45671-9047 | 2020-11-05 |
| 1780285742 | Ivan William Miller Jr. | Technician | 241 Silvercrest Dr, Lexington, OH 44904-9364 | 2020-11-05 |
| 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.