Individual provider Active NPI

James Stanley Kalbaugh, P.A.-C.

  • Medical Physician Assistant
  • Middletown, OH
National Provider Identifier
1700972056
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50000287 Issued in OH
Practice address
200 N Breiel Blvd
Middletown, OH 45042-3808
Phone
(513) 424-2535
Fax
(513) 424-0363
NPI assigned
Oct 5, 2006
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50000287 OH Primary

Addresses

Primary practice location

200 N Breiel Blvd
Middletown, OH 45042-3808

Mailing address

200 N Breiel Blvd
Middletown, OH 45042-3808
Phone (513) 424-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000886 OH Practitioner - Physician Assistant 0749475440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50000287OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Sep 8, 2014 Accepting new patients
Mvhe Inc CurrentSince Sep 8, 2014 Accepting new patients
Middletown Medical Group,Inc. Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

5971 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 785-4304

200 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-2535

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1700972056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423808",
            "telephone_number": "513-424-2535",
            "fax_number": "513-424-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423808",
            "telephone_number": "513-424-2535",
            "fax_number": "513-424-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALBAUGH",
        "first_name": "JAMES",
        "middle_name": "STANLEY",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50000287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.