PATRIO D TISMO PA INC (NPI# 1245532654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245532654 |
| Entity Type | Organization |
| Organization Name | PATRIO D TISMO PA INC |
| Practice Address |
107 North 3rd Street Ironton OH 45638 |
| Mailing Address |
P.o. Box 500 107 North 3rd Street Ironton OH 45638 |
| Practice Telephone | 7405320059 |
| Practice Fax Number | 7405320380 |
| Mailing Telephone | 7405320059 |
| Mailing Fax Number | 7405320380 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2011-10-18 |
| Authorized Official Name | PATRIO D TISMO (OWNER) |
| Authorized Official Telephone | 7405320059 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33966 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0175706 | 05 |
| Street Address |
107 NORTH 3RD STREET |
| City | IRONTON |
| State | OH |
| Zip Code | 45638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
| 1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
| 1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
| 1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
| 1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
| 1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
| 1073827945 | Close To Home, IIi LLC | Assisted Living Facility | 617 Center St, Ironton, OH 45638 | 2010-08-03 |
| Find all providers in zip 45638 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215123468 | Maggie Stevens Lawentmann | Family Medicine | 1408 Campbell Dr Ste S202, Ironton, OH 45638-2301 | 2007-09-21 |
| 1124152848 | Arlene Marie Basedow | Family Medicine | 2117 S 7th St, Ironton, OH 45638-2538 | 2007-03-15 |
| 1114006608 | Portia V C Canos | Family Medicine | 1920 S 9th St, Ironton, OH 45638-2453 | 2006-11-03 |
| 1174602668 | Rodolfo J Canos Jr. | Family Medicine | 1920 South 9th St, Ironton, OH 45638-0743 | 2006-11-03 |
| 1417050659 | John David Auner | Family Medicine | 128 W Russell St, Ironton, MO 63650-1313 | 2006-09-06 |
| 1053368019 | Arash Daemi Kayfan | Family Medicine | 1005 E Ring Rd Ste 2, Ironton, OH 45638-9610 | 2006-05-27 |
| 1902804321 | William K Basedow | Family Medicine | 2301 S 7th St, Suite 1, Ironton, OH 45638-2542 | 2005-07-09 |
| 1720086143 | Basedow Family Clinic Inc | Family Medicine | 2301 S 7th St Ste 1, Ironton, OH 45638-2542 | 2005-07-09 |
| 1114467867 | Michael Basedow | Family Medicine | 2301 S 7th St, Ironton, OH 45638-2542 | 2017-02-28 |
| 1770842569 | Thuy Nguyen | Family Medicine | 912 Park Ave, Ironton, OH 45638-1596 | 2012-05-14 |
| Find all providers in IRONTON | ||||
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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.