Jerry C Bell, DO
Individual provider Active NPI Family Medicine Physician · Madison, OH
NPI 1962626564 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1962626564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34-009293 (OH)
- Practice address
- 6270 N Ridge Road
Madison, OH 44057 - Phone
- (440) 428-8246
- Fax
- (440) 428-8235
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ashtabula County Medical Center
Lake Hospital System, Inc.
Practice addresses (Care Compare)
2259 Lake Ave
Ashtabula, OH 44004-3437
Phone (440) 994-7654
36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530
6270 N Ridge Rd
Madison, OH 44057-2567
Phone (440) 428-8256
Hospital & facility affiliations
- Capital Health Home Care
- Ashtabula County Medical Center
- Lake Health
- Cleveland Clinic
- Uhhs Memorial Hospital of Geneva
- Uh Regional Hospitals
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080617000730 | OH | Practitioner - Family Practice | 8022191949 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-009293 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashtabula County Medical Center | Current |
Accepting new patients | |
| Lake Hospital System, Inc. | Current |
Accepting new patients | |
| Lake Hospital System Inc | Family Medicine | Current | Accepting new patients |
| Lake Hospital System, Inc | Family Medicine | Current |
Accepting new patients |
| Lake Hospital System Inc. | Past | Accepting new patients | |
| Lake Hospital System | Past | Accepting new patients | |
| Lake Hospital System Inc | Past | Accepting new patients |
Locations
2259 Lake Ave
Ashtabula, OH 44004
Phone (440) 994-7550
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
510 5th Ave
Chardon, OH 44024
Phone (440) 285-9494
7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899
6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
30498 Lake Shore Blvd
Willowick, OH 44095
Phone (440) 585-3322
Interoperability endpoints
- jbell37335@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-009293 | OH | Yes |
Addresses
Primary practice location
6270 N Ridge Road
Madison, OH 44057
Mailing address
7590 Auburn Rd Ste 14
Concord TWP, OH 44077-9176
Phone (440) 354-1985
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jerry.bell@lhpg.eclinicaldirectplus.com | Direct |
Other providers in Madison, OH
- Mark Andrew Bashore
- Crystal Lynne Basich III
- Taylor Mackenzie Becker
- Sara K Beech
- Jeanette D Behm
- Stephanie Blake
- Kristen Diane Blevins
- Ann M Breech
- Katrina Marie Brill
- Brittany Residential Inc
All providers in Madison, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.