HEALTHSOURCE: GEORGETOWN PEDIATRICS AND FAMILY PRACTICE
NPI 1255372207
Clinic/Center - Federally Qualified Health Center (FQHC) in Georgetown, OH
NPI Status: Active since June 09, 2006
Contact Information
631 E STATE ST
GEORGETOWN, OH
ZIP 45121
Phone: (937) 378-6387
Fax: (937) 378-4253
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
About HEALTHSOURCE: GEORGETOWN PEDIATRICS AND FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Healthsource: Georgetown Pediatrics And Family Practice, a primary care provider established in Georgetown, Ohio operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1255372207 assigned on June 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Healthsource: Georgetown Pediatrics And Family Practice. The authorized official of this NPI record is Joseph W Prather Ii Md (Ceo)
- NPI
- 1255372207
- Provider Legal Name
- HEALTHSOURCE OF OHIO, INC.
- Other Organization Name
- HEALTHSOURCE: GEORGETOWN PEDIATRICS AND FAMILY PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 631 E STATE ST GEORGETOWN, OH 45121
- Location Phone
- (937) 378-6387
- Location Fax
- (937) 378-4253
- Mailing Address
- 424 WARDS CORNER RD STE 200 LOVELAND, OH 45140
- Mailing Phone
- (513) 707-4041
- Mailing Fax
- (937) 378-4253
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-09-2006
- Last Update Date
- 09-18-2024
- Code Navigator
A primary care provider (PCP) like Healthsource: Georgetown Pediatrics And Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0836662 | MEDICAID (05) | OH | |
| CH7473 | OTHER (01) | OH | RAILROAD MEDICARE |
Reviews for HEALTHSOURCE: GEORGETOWN PEDIATRICS AND FAMILY PRACTICE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 7 | 2 | 2 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 7 | 4 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 7 + 4 + 2 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1255372207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740627488 | DR. BRADLEY JAY STOKES D.O. Individual | Family Medicine | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1023519485 | AMANDA STRUB CNP Individual | Nurse Practitioner (Family) | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1659376796 | ANYA C. BAUMAN MD Individual | Pediatrics | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1679803381 | JOSIE ANN GAST PA-C Individual | Physician Assistant (Medical) | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1316432834 | MRS. MELISSA N WRIGHT FNP-BC Individual | Nurse Practitioner (Family) | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1841541034 | DENA RICHTER NP Individual | Nurse Practitioner (Family) | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1952984734 | CHRISTINA MICHELLE FERNBACH FNP Individual | Nurse Practitioner (Family) | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1093798241 | DR. SUSAN ELAINE REED M.D. Individual | Family Medicine | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1396117842 | EMILY MARTINEZ APRN Individual | Nurse Practitioner (Pediatrics) | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
| 1700980869 | HEALTHSOURCE OF OHIO, INC. Organization | Clinic/Center (Primary Care) | 631 E STATE ST GEORGETOWN, OH 45121 (937) 378-6387 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255372207, enumerated in the NPI registry as an "organization" on June 09, 2006
The provider is located at 631 E State St Georgetown, Oh 45121 and the phone number is (937) 378-6387
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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