Jeffrey Bevan, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JEFFREY BEVAN, LLC

Doing business as

Sentinel Health of Ohio

Practice address

4449 Easton Way FL 2
PMB 20094
Columbus, OH 43219-7005

Phone

(888) 850-1830

Fax

(740) 201-1099

NPI assigned

Aug 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey L Bevan, DNP, RN, FNP-BC

Title

President and Ceo

Phone

(888) 850-1830

Specialties & licenses 1

Addresses

Other names 1

• Sentinel Health of Ohio Doing business as

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460851200000",
    "number": "1609242643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431300915",
            "telephone_number": "888-850-1830",
            "fax_number": "740-201-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY FL 2",
            "address_2": "PMB 20094",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197005",
            "telephone_number": "888-850-1830",
            "fax_number": "740-201-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY BEVAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2016-04-17",
        "status": "A",
        "authorized_official_last_name": "BEVAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "888-850-1830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, RN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentinel Health of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kuri Jefferson
• Lakisha Jefferson
• Tiara Jefferson
• Krista Aulene Jeffery Bawden
• Jeffrey a. Hanin DDS,Inc.
• Jeffrey Dean Foundation
• Jeffrey Dean Foundation (A Better Choice Transportation Services)
• Jeffrey L. Wilden D.D.S.,Inc. (franklinton dental group)
• Jeffrey M Gibbs DDS & G Paul King DDS Ms Inc (Camelot Dental Group)
• Jeffrey S Sams MD

• Primary Care Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; 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.