Active NPI 1083637730 Individual Practitioner Male Practitioner

Dr. Benjamin Edward Ball , DO

Internal Medicine • Bellevue, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Ball, DO is a certified Internal Medicine practicing in Bellevue, OH. With approximately 40 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 1986, Dr. Ball delivers high-quality medical care to the local community at 1255 W MAIN ST.

Dr. Ball is affiliated with North Coast Professional Company, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1255 W Main St
Ste A

Bellevue, OH 448119015

Telephone 4194837240

Fax 4194832543

Associated Practice Facility / Clinic

🏢 Ball Medical Clinic Inc Facility NPI 1841307436

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bellevue, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +18.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Bellevue, OH (5516 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

39.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ball (40 Years) 40 Yrs

Bellevue Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,006	675	$13.34	$7.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	246	$207.30	$117.30
99213 Established patient office or other outpatient visit, typically 15 minutes	288	180	$146.28	$83.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	287	287	$186.87	$120.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	200	24	$9.47	$0.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	159	35	$24.91	$13.03
G0008 Administration of influenza virus vaccine	150	150	$25.97	$25.45
90662 Influenza vaccine split virus, preservative free	146	146	$104.66	$81.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	138	21	$2.00	$1.23
99495 Transitional care management services for problem of at least moderate complexity	56	51	$320.05	$191.76
81002 Urinalysis, manual test	53	27	$18.94	$3.41
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	41	41	$38.88	$21.55
99442 Telephone medical discussion with physician, 11-20 minutes	23	22	$140.30	$84.38
93923 Complete ultrasound study of arm and leg arteries	22	19	$38.73	$20.23
20610 Aspiration and/or injection of fluid from large joint	19	12	$120.74	$65.04
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$241.17	$154.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$241.83	$153.64
69210 Removal of impacted ear wax	12	12	$81.83	$41.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	876	641	$16.02	$7.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	630	269	$200.00	$122.37
99213 Established patient office or other outpatient visit, typically 15 minutes	305	191	$140.00	$85.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	274	274	$169.00	$125.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	235	31	$9.00	$1.06
G0008 Administration of influenza virus vaccine	158	158	$25.00	$24.50
90662 Influenza vaccine split virus, preservative free	154	154	$80.00	$71.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	154	40	$42.00	$13.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	123	18	$2.00	$1.51
99441 Telephone medical discussion with physician, 5-10 minutes	67	59	$63.00	$53.70
81002 Urinalysis, manual test	52	33	$18.00	$3.41
93923 Complete ultrasound study of arm and leg arteries	51	46	$42.00	$21.18
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	43	42	$44.00	$22.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	11	$134.00	$103.92
G0009 Administration of pneumococcal vaccine	24	24	$25.00	$24.50
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$251.00	$160.89
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$444.00	$282.89
99495 Transitional care management services for problem of at least moderate complexity	20	18	$239.00	$196.96
20610 Aspiration and/or injection of fluid from large joint	19	14	$118.00	$58.49
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	16	$193.00	$130.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$244.00	$161.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	733	559	$21.00	$8.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	520	259	$188.00	$123.35
99213 Established patient office or other outpatient visit, typically 15 minutes	389	214	$128.00	$86.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	262	262	$203.22	$125.67
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	194	194	$132.85	$70.25
G0008 Administration of influenza virus vaccine	194	194	$25.00	$24.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	169	47	$35.00	$13.72
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	135	21	$20.00	$1.71
99442 Telephone medical discussion with physician, 11-20 minutes	79	69	$132.00	$85.81
81002 Urinalysis, manual test	60	33	$20.00	$3.42
99495 Transitional care management services for problem of at least moderate complexity	44	40	$286.00	$198.23
93923 Complete ultrasound study of arm and leg arteries	41	40	$40.00	$21.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	27	$5.00	$1.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	31	18	$163.00	$87.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$76.00	$54.71
20610 Aspiration and/or injection of fluid from large joint	27	17	$148.00	$58.49
90471 Administration of 1 vaccine	26	26	$35.00	$15.87
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	20	20	$49.00	$23.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$294.25	$161.28
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$394.06	$160.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	13	$232.00	$124.18
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	11	11	$27.00	$14.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,156	795	$21.00	$8.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	626	282	$188.08	$125.52
99213 Established patient office or other outpatient visit, typically 15 minutes	383	233	$128.00	$87.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	279	279	$203.00	$128.88
G0008 Administration of influenza virus vaccine	244	244	$25.00	$16.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	186	44	$35.00	$13.66
90653 Vaccine for influenza for injection into muscle	174	174	$68.00	$59.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	146	22	$20.00	$2.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	127	28	$5.00	$1.28
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	68	68	$132.85	$66.43
93923 Complete ultrasound study of arm and leg arteries	61	60	$40.00	$21.52
81002 Urinalysis, manual test	54	38	$20.00	$3.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	40	$76.00	$53.26
99495 Transitional care management services for problem of at least moderate complexity	42	40	$286.00	$199.65
99442 Telephone medical discussion with physician, 11-20 minutes	37	36	$132.00	$89.48
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	31	30	$48.00	$18.48
20610 Aspiration and/or injection of fluid from large joint	24	18	$148.00	$56.73
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	21	21	$40.00	$21.59
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	21	21	$27.00	$14.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$301.00	$163.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	11	$163.00	$88.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$406.00	$163.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	13	$232.00	$126.43
69210 Removal of impacted ear wax	14	13	$119.00	$45.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,011	715	$21.00	$8.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	508	249	$188.00	$106.68
99213 Established patient office or other outpatient visit, typically 15 minutes	420	224	$128.00	$73.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	274	274	$203.00	$113.78
G0008 Administration of influenza virus vaccine	247	247	$25.00	$16.07
90653 Vaccine for influenza for injection into muscle	241	241	$68.00	$59.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	200	24	$5.00	$1.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	156	41	$35.00	$13.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	123	20	$20.00	$1.99
93923 Complete ultrasound study of arm and leg arteries	90	87	$40.00	$22.59
81002 Urinalysis, manual test	89	53	$20.00	$3.45
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	48	13	$122.00	$68.74
99495 Transitional care management services for problem of at least moderate complexity	46	41	$286.00	$181.03
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	36	35	$48.00	$26.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	13	$163.00	$90.71
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	23	23	$40.00	$22.52
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	23	23	$27.00	$15.00
G0009 Administration of pneumococcal vaccine	21	21	$25.00	$15.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$176.00	$118.77
99442 Telephone medical discussion with physician, 11-20 minutes	17	12	$125.71	$71.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$301.00	$168.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$76.00	$42.28
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$406.00	$164.09
99496 Transitional care management services for problem of high complexity	12	11	$404.00	$239.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,170	838	$21.00	$8.41
99213 Established patient office or other outpatient visit, typically 15 minutes	616	292	$128.00	$71.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	560	261	$188.00	$105.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	282	282	$203.00	$112.60
G0008 Administration of influenza virus vaccine	225	225	$16.33	$14.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	221	28	$4.89	$1.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	188	51	$35.00	$16.01
90653 Vaccine for influenza for injection into muscle	165	165	$68.00	$58.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	120	22	$20.00	$1.80
93923 Complete ultrasound study of arm and leg arteries	86	84	$40.00	$22.24
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	14	$122.00	$67.60
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	65	64	$40.00	$21.90
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	64	63	$27.00	$14.59
81000 Manual urinalysis test with examination using microscope, non-automated	64	36	$25.00	$3.92
90662 Influenza vaccine split virus, preservative free	52	52	$65.00	$54.89
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	51	51	$48.00	$26.30
99495 Transitional care management services for problem of at least moderate complexity	39	34	$286.00	$158.75
G0009 Administration of pneumococcal vaccine	36	35	$24.22	$15.75
99496 Transitional care management services for problem of high complexity	28	25	$404.00	$224.27
81002 Urinalysis, manual test	19	17	$20.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	17	16	$337.88	$209.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$301.00	$166.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$166.50	$110.19
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$406.00	$161.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	890	678	$30.09	$8.33
99213 Established patient office or other outpatient visit, typically 15 minutes	643	296	$119.81	$69.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	465	226	$178.57	$102.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	300	300	$190.35	$111.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	213	50	$47.25	$19.15
G0008 Administration of influenza virus vaccine	206	206	$15.00	$14.63
90662 Influenza vaccine split virus, preservative free	202	202	$65.00	$51.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	162	25	$3.95	$1.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	160	23	$17.38	$1.93
81000 Manual urinalysis test with examination using microscope, non-automated	85	51	$23.59	$3.94
93923 Complete ultrasound study of arm and leg arteries	85	84	$68.47	$21.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	67	15	$111.25	$67.56
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	57	57	$56.21	$14.19
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	57	57	$65.79	$21.31
G0009 Administration of pneumococcal vaccine	55	55	$25.09	$18.97
99495 Transitional care management services for problem of at least moderate complexity	35	29	$273.66	$157.46
90670 Pneumococcal vaccine for injection into muscle	28	28	$282.86	$198.39
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$99.17	$93.31
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	22	22	$64.55	$26.30
99496 Transitional care management services for problem of high complexity	21	19	$390.86	$223.00
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	18	11	$95.00	$58.85
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	15	$118.13	$37.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$390.27	$160.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$167.77	$104.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$281.67	$165.16
94726 Determination of lung volumes using plethysmography	12	12	$19.08	$12.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,104	812	$55.00	$8.29
99213 Established patient office or other outpatient visit, typically 15 minutes	843	346	$100.00	$70.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	345	38	$2.50	$1.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	269	269	$130.00	$110.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	146	$120.00	$102.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	220	62	$30.00	$23.91
G0008 Administration of influenza virus vaccine	188	188	$30.00	$23.76
90662 Influenza vaccine split virus, preservative free	176	176	$35.00	$34.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	147	22	$10.00	$2.95
81000 Manual urinalysis test with examination using microscope, non-automated	106	49	$10.00	$4.26
99495 Transitional care management services for problem of at least moderate complexity	68	55	$238.00	$155.99
G0009 Administration of pneumococcal vaccine	53	52	$30.00	$23.76
94060 Test to measure expiratory airflow and volume changes before and after medication administration	51	49	$75.00	$12.38
94726 Determination of lung volumes using plethysmography	48	47	$15.00	$11.70
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	47	46	$100.00	$24.82
94729 Test to examine how well the lungs exchange gases	47	46	$15.00	$8.67
93923 Complete ultrasound study of arm and leg arteries	46	46	$150.00	$29.09
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	46	46	$138.00	$14.52
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	46	46	$138.00	$21.81
90670 Pneumococcal vaccine for injection into muscle	41	41	$220.00	$184.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	12	$86.00	$66.80
99496 Transitional care management services for problem of high complexity	16	14	$335.00	$221.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$185.00	$163.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$95.00	$93.10

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34-00-4957

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0804044 (OH)

Hospital & Practice Group Affiliations

North Coast Professional Company, Llc

1255 W Main St, Bellevue, OH 448119112

Phone: 4194837240

North Coast Professional Company, Llc

703 Tyler St, Sandusky, OH 448703391

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Marcia Braun , MD

Family Medicine

NPI 1134330905

Doctor of Medicine (M.D.)

Dr. Theodore Ball , MD

Family Medicine - Adult Medicine

NPI 1295758530

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2015

Registered at 1255 W MAIN ST, STE A, BELLEVUE, OH 448119015 (Tel: 4194837240)

📍

Updated Business Mailing Address August 27, 2015

Registered at 1255 W MAIN ST, STE A, BELLEVUE, OH 448119015 (Tel: 4194837240)

👤

Provider Name / Credentials Updated August 27, 2015

Recorded as BENJAMIN BALL, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2015

Internal Medicine (License #34-00-4957 in OH)

🟢

Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083637730

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 25, 2006

Last Update: August 27, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1255 W Main St, Ste A

Bellevue, OH 448119015

Phone: 4194837240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.