MARY RUTAN HOSPITAL (NPI# 1689712879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689712879 |
| Entity Type | Organization |
| Organization Name | MARY RUTAN HOSPITAL |
| Other Organization Name | GENERAL SURGERY |
| Practice Address |
114 Dowell Ave Bellefontaine OH 43311-2305 |
| Practice Telephone | 9375921099 |
| Mailing Telephone | 9375921099 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | RONALD CARMIN (VP, FISCAL SERVICES) |
| Authorized Official Telephone | 9375924015 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARY RUTAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 7607503 | 05 |
| Other Name | Type Code |
|---|---|
| General Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891997169 | Mary Rutan Hospital | Family Medicine | 21 Hunter Pl, Suite C, Bellefontaine, OH 43311-3002 | 2007-05-31 |
| 1942260047 | Mary Rutan Hospital | Otolaryngology | 116 Dowell Ave, Bellefontaine, OH 43311-2305 | 2006-03-24 |
| 1548254931 | Mary Rutan Hospital | General Acute Care Hospital | 205 Palmer Avenue, Bellefontaine, OH 43311-2298 | 2005-08-31 |
| 1801281522 | Mary Rutan Hospital | Pharmacy | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2015-03-31 |
| 1437452976 | Mary Rutan Hospital | Medicare Defined Swing Bed Unit | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2010-12-06 |
| 1588846158 | Mary Rutan Hospital | Orthopaedic Surgery | 2221 Timber Trl, Bellefontaine, OH 43311-9036 | 2007-12-05 |
| 1538129473 | Mary Rutan Hospital | Anesthesiology | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-03-24 |
| 1134189475 | Mary Rutan Hospital | Internal Medicine | 2231 Timber Trl, Bellefontaine, OH 43311-9036 | 2006-03-23 |
| 1366401002 | Mary Rutan Hospital | Skilled Nursing Facility | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-03-21 |
| 1003875949 | Mary Rutan Hospital | Family Medicine | 4879 Us Highway 68 S, West Liberty, OH 43357-9525 | 2006-03-20 |
| Street Address |
114 DOWELL AVE |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629213327 | Michael Thomas Cray | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2008-12-09 |
| 1336338037 | L L Morris Md Inc | Surgery | 212 Irving Ave, Suite A, Bellefontaine, OH 43311-2282 | 2007-10-18 |
| 1548397375 | Kimberly Ann Scriven | Surgery | 2231 Timber Trl, Bellefontaine, OH 43311-9036 | 2007-02-28 |
| 1760544241 | Larry L Morris | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2006-12-14 |
| 1740366392 | Anthony John Beisler Iv | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2006-10-27 |
| 1861455461 | Harpreet Singh Brar | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
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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.