Kenton Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENTON FAMILY PRACTICE LLC

Practice address

75 Washington Blvd
Kenton, OH 43326-4001

Phone

(419) 675-1962

Fax

(419) 673-8058

NPI assigned

Dec 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul D Wesson, DONPI 1659362176

Title

Physician

Phone

(419) 675-1962

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul David Wesson II, DO

  • Family Medicine Physician
  • Kenton, OH
  • NPI 1659362176
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1083779110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433260418",
            "telephone_number": "419-675-1962",
            "fax_number": "419-673-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON BLVD",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433264001",
            "telephone_number": "419-675-1962",
            "fax_number": "419-673-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "WESSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-675-1962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenton Al, LLC
• Kenton City Office of Auditor
• Kenton City Schools
• Kenton Facility Operations, LLC
• Kenton Family Eye Care, Inc.
• Kenton Nursing & Rehabilitation Center LLC
• Kenton Vision Care, Inc.
• Andrea Lee King
• Megan Marie Kinnison, R.D., L.D.
• Laura Elizabeth Knoderer

• Family Medicine Physician in Kenton, OH
• Providers in Kenton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.