Individual provider Active NPI

Bobby C Lenox Jr., DO

  • Family Medicine Physician
  • Ansonia, OH
National Provider Identifier
1386696151
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35005466 Issued in OH
Practice address
201 W Elroy Ansonia Rd
Ansonia, OH 45303-9786
Phone
(937) 337-6802
Fax
(937) 337-7163
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35005466 OH Primary

Addresses

Primary practice location

201 W Elroy Ansonia Rd
Ansonia, OH 45303-9786

Mailing address

201 W Elroy Ansonia Rd
Ansonia, OH 45303-9786
Phone (937) 337-6802

Other identifiers 2

IdentifierTypeStateIssuer
0904543MedicaidOH
1386696151OtherOHNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060524000026 OH Practitioner - Family Practice 4183635576 Practice locations: Ansonia, OH

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 W Elroy Ansonia Rd
Ansonia, OH 45303-9786
Phone (937) 337-6802

Hospital & facility affiliations

  • Comprehensive Health Network Home health agency, Greenville, OH, CCN 367444
  • Everheart Hospice Hospice, Greenville, OH, CCN 361529
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35005466OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Wayne Hospital Company Past Accepting new patients
Julia Anne Bowlin MD Family Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1386696151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W ELROY ANSONIA RD",
            "city": "ANSONIA",
            "state": "OH",
            "postal_code": "453039786",
            "telephone_number": "937-337-6802",
            "fax_number": "937-337-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W ELROY ANSONIA RD",
            "city": "ANSONIA",
            "state": "OH",
            "postal_code": "453039786",
            "telephone_number": "937-337-6802",
            "fax_number": "937-337-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENOX",
        "first_name": "BOBBY",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35005466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904543",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386696151",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, OH

Sources for this page

Verify at the official NPI Registry.