Kelsey Bulvony, D.O.
Individual provider Active NPI Family Medicine Physician · Streetsboro, OH
NPI 1982138467 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1982138467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34.014275 (OH)
- Practice address
- 9318 State Route 14
Streetsboro, OH 44241-5224 - Phone
- (330) 626-3111
- Fax
- (330) 626-5978
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy and Asthma Center, Inc | Past |
Accepting new patients |
Interoperability endpoints
- kbulvony368448@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 34.014275 | OH | Yes |
Addresses
Primary practice location
9318 State Route 14
Streetsboro, OH 44241-5224
Mailing address
Uh Streetsboro Family Practice
9318 State Route 14 Third Floor
Streetsboro, OH 44241
Phone (330) 626-3111
Other practice location 1
2261 Philadelphia Drive
Five Rivers Family Health Center
Dayton, OH 45406
Phone (937) 734-4141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100230031 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbulvony368448@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Streetsboro, OH
- Kayla Brown
- Shawn William Brown
- Stephanie Danielle Brown
- Breanna M Bucco
- Kristen Bujak
- Ana Burilo
- Katherine Burnett
- Kirston Lynne Call
- Elisa M Caloca
- Thomas Carratola
All providers in Streetsboro, 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 Jun 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.