Fort Steuben Medical Group LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35272572 Issued in OH

Legal business name

FORT STEUBEN MEDICAL GROUP LLC

Practice address

1805 Sinclair Ave
Steubenville, OH 43953-3327

Phone

(740) 264-2686

Fax

(740) 266-4981

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Basel Termanini, MD

Title

Owner

Phone

(740) 266-4981

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1679809149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SINCLAIR AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439533327",
            "telephone_number": "740-264-2686",
            "fax_number": "740-266-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 SINCLAIR AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439533327",
            "telephone_number": "740-264-2686",
            "fax_number": "740-266-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT STEUBEN MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "TERMANINI",
        "authorized_official_first_name": "BASEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-4981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35272572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2999555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Renee Fitzpatrick
• Marlo Fletcher, CRNP
• Mia Foots
• Kimberly A Ford, LPCC-S, LICDC-CS, MA
• Katie C Forsythe, L.S.W.
• Fort Steuben Ophthalmologists, Inc.
• Francis a Sunseri MD
• Daniel B Franckhauser
• Tiffany Jean Frey
• Eugene Frye, CDCA

• Gastroenterology Physician in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.