Berea Clinic of Internal Medicine, PSC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BEREA CLINIC OF INTERNAL MEDICINE, PSC

Practice address

1036 Ace Dr
Berea, KY 40403-1327

Phone

(859) 986-3124

Fax

(859) 986-9398

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

George L. Schloemer, MDNPI 1598705980

Title

Owner

Phone

(859) 986-3124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16662/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Louis Schloemer, MD

  • Internal Medicine Physician
  • Berea, KY
  • NPI 1598705980

  KY

  Medicare reassignment Care Compare group NPD Authorized official
• Patrick Anthony Kelleher, MD

  • Internal Medicine Physician
  • Berea, KY
  • NPI 1952345522

  KY

  Medicare reassignment Care Compare group NPD
• Donita Hardy, PA

  • Medical Physician Assistant
  • Berea, KY
  • NPI 1457669087

  KY

  Medicare reassignment

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700819802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 ACE DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031327",
            "telephone_number": "859-986-3124",
            "fax_number": "859-986-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 ACE DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031327",
            "telephone_number": "859-986-3124",
            "fax_number": "859-986-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA CLINIC OF INTERNAL MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOEMER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-986-3124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Deattrea Beckford, M.D.
• Beh Physical Therapy
• Hannah Bennett, MD
• John Melton Bennett, MD, MPH
• Berea Area Development LLC
• Berea College Health Service
• Berea Drug Co Inc
• Berea Drug Co Inc
• Berea Health Care, Inc.
• Berea Health Ministry, Inc

• All providers in Berea, KY
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.