Orville Rene Amburn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35047110 Issued in OH

Practice address

250 Castalia St
G
Bellevue, OH 44811

Phone

(419) 483-2273

Fax

(419) 483-8914

NPI assigned

Jul 22, 2006

Last updated

Nov 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rene Amburn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Rene Amburn MD Inc

  • Family Medicine Physician
  • Bellevue, OH
  • NPI 1568781003
  Authorized official Same address or phone

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1487675567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CASTALIA ST",
            "address_2": "G",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "44811",
            "telephone_number": "419-483-2273",
            "fax_number": "419-483-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CASTALIA ST",
            "address_2": "G",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "44811",
            "telephone_number": "419-483-2273",
            "fax_number": "419-483-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURN",
        "first_name": "ORVILLE",
        "middle_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35047110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0949871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "AMBURN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Advanced Neurologic Associates, Inc
• Lisa Jo Aichholz, CNP
• Ashley Anne Amos, MA
• Angie's Spa LLC
• Audrich, Inc. (Bellevue Care Center)
• Audrich, Inc. (Orchard Grove Assisted Living)
• Ball Medical Clinic Inc

• Family Medicine Physician in Bellevue, OH
• Providers in Bellevue, 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 Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.