HEALTHSOURCE OF OHIO, INC. (NPI# 1700980869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700980869 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF OHIO, INC. |
| Other Organization Name | HEALTHSOURCE: GEORGETOWN PEDIATRICS |
| 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 | 5130740417 |
| Mailing Fax Number | 5135761020 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-04-30 |
| 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 | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0598349 | 05 |
| Other Name | Type Code |
|---|---|
| HealthSource: Georgetown Pediatrics | 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 |
| 1255372207 | Healthsource of Ohio, Inc. | Clinic/Center | 631 E State St, Georgetown, OH 45121-1437 | 2006-06-09 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114112745 | Chisholm Trail Pediatrics Inc Pa | Clinic/Center | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2007-09-06 |
| 1750920450 | Healthy Hedgehog, Pllc | Clinic/Center | 137 S Hamilton St, Georgetown, KY 40324-1671 | 2019-12-27 |
| 1922503465 | Fusion of Wellness: Body, Mind, and Soul, LLC. | Clinic/Center | 712 N Main St, Georgetown, IL 61846-1440 | 2018-03-27 |
| 1417404153 | Ochna Health | Clinic/Center | 4749 Williams Dr, Suite 304, Georgetown, TX 78633 | 2016-09-09 |
| 1568629418 | Kelly Burgess M.d. | Clinic/Center | 1140 Lexington Rd, Suite 200, Georgetown, KY 40324-9330 | 2008-05-19 |
| 1982759627 | Gary L. Mills D.c.p.s.c. | Clinic/Center | 407 S Broadway St, Georgetown, KY 40324-1342 | 2007-01-24 |
| 1255483327 | Georgetown Health Group | Clinic/Center | 1530 Highmarket St, Georgetown, SC 29440-3121 | 2007-01-17 |
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| 1013520014 | Chrysalis Health and Wellness | Clinic/Center | 1005 E State St Ste E, Athens, OH 45701-2151 | 2020-08-28 |
| 1811507668 | Priority Medical Family Practice, LLC | Clinic/Center | 1128 Linden Ave, Zanesville, OH 43701-2908 | 2020-08-06 |
| 1932727849 | Muskingum Valley Health Centers | Clinic/Center | 915 Putnam Ave, Zanesville, OH 43701-5547 | 2020-07-07 |
| 1790309284 | Emerika Mobile Health LLC | Clinic/Center | 28 Park Ave W Ste 701, Mansfield, OH 44902-1640 | 2020-06-01 |
| 1477175768 | Virtue Wellness, LLC | Clinic/Center | 7660 Silver Fox Dr, Columbus, OH 43235-1835 | 2020-05-11 |
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1750926317 | Neuroradiance Integrative Health Initiative, Ltd | Clinic/Center | 110 Polaris Pkwy Ste 120, Westerville, OH 43082-8028 | 2019-11-07 |
| 1033754569 | Integrative Medicine & Virtualcare Plus LLC | Clinic/Center | 5212a Kings Mills Rd # 529, Mason, OH 45040-2319 | 2019-11-07 |
| 1912558669 | Careatc | Clinic/Center | 132 Artino St Ste 14, Oberlin, OH 44074-1206 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| 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.