BROADWAY FAMILY MEDICINE INC


Address: 1470 N Broadway St, Suite100, Lebanon, OH 45036-1744
Phone: 5139321936

BROADWAY FAMILY MEDICINE INC (NPI# 1083696538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083696538
Entity Type Organization
Organization Name BROADWAY FAMILY MEDICINE INC
Practice Address 1470 N Broadway St
Suite100
Lebanon
OH 45036-1744
Mailing Address Po Box 4723
Belfast
ME 04915-4723
Practice Telephone 5139321936
Practice Fax Number 5139323105
Mailing Telephone 5139321936
Mailing Fax Number 5139323105
Enumeration Date 2005-11-18
Last Update Date 2018-09-20
Authorized Official Name ROSE EBEL (PRESIDENT)
Authorized Official Telephone 5139321936
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2378538 05
OH RR MCR CK5993 01

Office Location

Street Address 1470 N BROADWAY ST
SUITE100
City LEBANON
State OH
Zip Code 45036-1744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265414718 April Gardner Family Medicine 1470 N Broadway St, Suite 100, Lebanon, OH 45036-1206 2005-11-18
1932659620 Justin Taylor Physician Assistant 1470 N Broadway St, Suite 100, Lebanon, OH 45036-1744 2016-10-06
1487090809 Associated Foot and Ankle Specialists of Ohio Inc Podiatrist 1470 N Broadway St, Suite 120, Lebanon, OH 45036-1744 2013-05-13
1023256401 Internal Medicine Care, Inc Internal Medicine 1470 N Broadway St, Suite 120, Lebanon, OH 45036-1206 2009-01-23
1578566097 Gary P Hayes Family Medicine 1470 N Broadway St, Suite 130, Lebanon, OH 45036-1744 2005-05-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205479458 Natasha Denney Arentz Nurse Practitioner 5787 Oh-63, Lebanon, OH 45036 2019-10-21
1265086573 Eric Stone Counselor 5234 Oh-63, Lebanon, OH 45036 2019-07-25
1548730401 Crystal Prater Counselor 5234 W Sr 63, Lebanon, OH 45036 2018-12-04
1922574284 Ellen L Fink Counselor 5234 Sr 63, Lebanon, OH 45036 2018-10-15
1255832275 Primary Care Partners of Ohio Family Medicine 726 E Main St Ste F205, Lebanon, OH 45036 2018-02-25
1548769599 Chelsea R Perkins Case Manager/Care Coordinator 975 Kingsview Drive Bldg B, Lebanon, OH 45036 2018-02-06
1184133829 Mary Bennett Speech-Language Pathologist 6760 Oh St Rt. 34, Lynchburg, OH 45036 2017-09-26
1699292912 Robert Earl Offutt Counselor 5234 State Rt.63, Lebanon, OH 45036 2017-08-28
1407381528 Kari Bump Counselor 320 E Silver St, Lebanon, OH 45036 2017-04-26
1154780435 Ohio Department of Rehabilitation and Correction Public Health or Welfare State Route 63, Lebanon, OH 45036 2016-02-16
Find all providers in zip 45036

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134604606 Stayton Family Practice Inc Family Medicine 41 E Ash St, Lebanon, OR 97355-3317 2018-10-01
1033693031 Heather Heck Family Medicine 1701 Cornwal Road, Lebanon, PA 17042-7480 2018-09-17
1982113148 A1 Health Care Clinic Family Medicine 703 East Main Street, # 8, Lebanon, KY 40444 2017-09-20
1952830127 Juliana Zamora Cubillos Family Medicine 120 Hospital Dr Ste 100, Lebanon, MO 65536-9227 2017-06-09
1245781954 Mountain States Health Alliance Family Medicine 58 Carroll St Suite 3, Dept of Russell County Medical Center, Lebanon, VA 24266 2016-10-18
1982080255 Dawn Barker Family Medicine 331 Hospital Dr Ste C, Lebanon, MO 65536 2015-08-10
1467848952 Kelly Renee Deatley Family Medicine 325 W Walnut St Ste 600, Lebanon, KY 40033 2015-04-10
1801209713 Matthew Johnson Family Medicine 920 Church Street, Lebanon, PA 17042 2014-06-09
1407288210 Healthsource of Ohio, Inc. Family Medicine 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 2013-08-02
1598108763 Docare,llc Family Medicine 680 E Grant St, Lebanon, OR 97355-4432 2013-04-08
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 45036

Improve Information

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Dataset Information

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.

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