MIDDLETOWN MEDICAL GROUP
NPI 1497154827
Internal Medicine in Middletown, OH
NPI Status: Active since August 21, 2014
Contact Information
200 N BREIEL BLVD
MIDDLETOWN, OH
ZIP 45042
Phone: (513) 424-2535
Fax: (513) 424-0363
- Organization
- Internal Medicine
- Accepts Insurance
About MIDDLETOWN MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Middletown Medical Group, an internist established in Middletown, Ohio operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1497154827 assigned on August 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Middletown Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Middletown Medical Group. The authorized official of this NPI record is Kenneth Prunier (Ceo/president)
- NPI
- 1497154827
- Provider Legal Name
- MVHE INC
- Other Organization Name
- MIDDLETOWN MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 N BREIEL BLVD MIDDLETOWN, OH 45042
- Location Phone
- (513) 424-2535
- Location Fax
- (513) 424-0363
- Mailing Address
- 200 N BREIEL BLVD MIDDLETOWN, OH 45042
- Mailing Phone
- (513) 424-2535
- Mailing Fax
- (513) 424-0363
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2014
- Last Update Date
- 11-19-2014
- Code Navigator
An internist like Middletown Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - 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.
*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 |
|---|---|---|---|
| 0109691 | MEDICAID (05) | OH | |
| 9187611 | MEDICARE PIN (08) | OH |
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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 | 4 | 9 | 7 | 1 | 5 | 4 | 8 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 2 | 5 | 8 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 2 + 5 + 8 + 8 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1497154827 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 |
|---|---|---|---|
| 1184604126 | DR. ELIZABETH WALL PATTERSON MD Individual | Family Medicine | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1790765725 | PAUL RUSSELL JENNEWINE MD Individual | Internal Medicine | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1447230487 | MALCOLM LORI STEINER MD Individual | Internal Medicine | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1164402103 | MARVIN LEE RAY MD Individual | Internal Medicine | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1700972056 | JAMES STANLEY KALBAUGH P.A.-C. Individual | Physician Assistant (Medical) | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1215456850 | PEY SHAN KUO PA-C Individual | Physician Assistant | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1477533446 | MIDDLETOWN MEDICAL GROUP,INC. Organization | Internal Medicine | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1346911872 | KURT HAMLIN Individual | Physician Assistant | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1609924984 | ROULAY THAMMAVONG M.D. Individual | Internal Medicine | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (513) 424-2535 |
| 1003692674 | KAITLYN ELIZABETH WALCH PA-C Individual | Physician Assistant (Medical) | 200 N BREIEL BLVD MIDDLETOWN, OH 45042 (937) 581-4858 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497154827, enumerated in the NPI registry as an "organization" on August 21, 2014
The provider is located at 200 N Breiel Blvd Middletown, Oh 45042 and the phone number is (513) 424-2535
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. 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 August 21, 2014. 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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