Active NPI
Rene Amburn MD Inc
- Family Medicine Physician
- Bellevue, OH
National Provider Identifier
1568781003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RENE AMBURN MD INC
- Practice address
- 250 Castalia St
Suite G
Bellevue, OH 44811 - Phone
- (419) 483-2273
- Fax
- (419) 483-8914
- NPI assigned
- May 24, 2010
- 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
- Orville Rene Amburn, MD
- Title
- President
- Phone
- (419) 483-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
250 Castalia St
Suite G
Bellevue, OH 44811
Mailing address
250 Castalia St
Suite G
Bellevue, OH 44811
Phone (419) 483-2273
National Provider Directory
National Provider DirectoryLocations
250 Castalia St
Ste G
Bellevue, OH 44811
Phone (419) 483-2273
135 W Maple St
Clyde, OH 43410
Phone (419) 547-0348
135 W Maple St
Apt B
Clyde, OH 43410
Phone (419) 483-2223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274659200000",
"number": "1568781003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CASTALIA ST",
"address_2": "SUITE 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": "SUITE G",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "44811",
"telephone_number": "419-483-2273",
"fax_number": "419-483-8914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENE AMBURN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A",
"authorized_official_last_name": "AMBURN",
"authorized_official_first_name": "ORVILLE",
"authorized_official_middle_name": "RENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-483-2273",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.