Active NPI
Bethel Internal Medicine and Pediatrics LLC
- Internal Medicine Physician
- Bethel, OH
National Provider Identifier
1245473313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BETHEL INTERNAL MEDICINE AND PEDIATRICS LLC
- Practice address
- 720 W Plane St
Bethel, OH 45106-8339 - Phone
- (513) 734-9200
- Fax
- (513) 734-9300
- NPI assigned
- Apr 20, 2009
- Last updated
- Jul 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Curtis B Everson, MD
- Title
- Owner
- Phone
- (513) 734-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
720 W Plane St
Bethel, OH 45106-8339
Mailing address
PO Box 713013
Columbus, OH 43271-3013
Phone (513) 734-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2944587 | Medicaid | OH | |
| DP7944 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1210 State Route 125
Amelia, OH 45102
Phone (513) 943-0562
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Dayton, OH
- NPI 1942203377
-
- Family Nurse Practitioner
- Cincinnati, OH
- NPI 1346449642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311897600000",
"number": "1245473313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713013",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432713013",
"telephone_number": "513-734-9200",
"fax_number": "513-734-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W PLANE ST",
"city": "BETHEL",
"state": "OH",
"postal_code": "451068339",
"telephone_number": "513-734-9200",
"fax_number": "513-734-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHEL INTERNAL MEDICINE AND PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-20",
"last_updated": "2011-07-29",
"status": "A",
"authorized_official_last_name": "EVERSON",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-734-9200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2944587",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DP7944",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethel, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.