Organization Active NPI

Rene Amburn MD Inc

  • Family Medicine Physician
  • Bellevue, OH
National Provider Identifier
1568781003
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on May 24, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.