| Ironton Health Care Campus | |
|
1408 Campbell Dr Suite 201 Ironton OH 45638-2301 | |
| (740) 534-9202 | |
| (740) 534-9327 |
| Full Name | Ironton Health Care Campus |
|---|---|
| Speciality | Clinic/Center |
| Location | 1408 Campbell Dr, Ironton, Ohio |
| Authorized Official Name and Position | Nancy J Lewis (DIRECTOR OF HEALTH SERVICES) |
| Authorized Official Contact | 7405323534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ironton Health Care Campus 305 N 5th St Ironton OH 45638-1578 Ph: (740) 532-3534 | Ironton Health Care Campus 1408 Campbell Dr Suite 201 Ironton OH 45638-2301 Ph: (740) 534-9202 |
| NPI Number | 1093022287 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 01/03/2014 |
| Medicare PECOS PAC ID | 8820902497 |
|---|---|
| Medicare Enrollment ID | O20031118000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093022287 | NPI | - | NPPES |
| 3138527 | Medicaid | OH | |
| 3810021176 | Medicaid | WV | |
| 7100172810 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Mary Beth Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043272404 PECOS PAC ID: 7113831645 Enrollment ID: I20031118000596 |
| Provider Name | Luther Daniel Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669470258 PECOS PAC ID: 3375514474 Enrollment ID: I20040804001462 |
| Provider Name | David A Apgar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972640696 PECOS PAC ID: 8628037637 Enrollment ID: I20041227000610 |
| Provider Name | Tamela R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265439384 PECOS PAC ID: 6204735434 Enrollment ID: I20080301000132 |
| Provider Name | Sue Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598734170 PECOS PAC ID: 6507867215 Enrollment ID: I20100419000845 |
| Provider Name | Nancy Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881653913 PECOS PAC ID: 8123932795 Enrollment ID: I20100420000618 |
| Provider Name | Jennifer Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194002162 PECOS PAC ID: 1153596812 Enrollment ID: I20120911000356 |
| Provider Name | Ryan K Brislin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407098023 PECOS PAC ID: 5698923670 Enrollment ID: I20120917000558 |
| Provider Name | Vinod Miriyala |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225055940 PECOS PAC ID: 7618121583 Enrollment ID: I20130129000658 |
| Provider Name | Henry T Barron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528223179 PECOS PAC ID: 8224279153 Enrollment ID: I20130718000666 |
| Provider Name | Kristina Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528236262 PECOS PAC ID: 0244316560 Enrollment ID: I20140114001084 |
| Provider Name | Brooke R Williams |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316254881 PECOS PAC ID: 1355569930 Enrollment ID: I20140822001184 |
| Provider Name | Roger Canter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700262086 PECOS PAC ID: 2769782051 Enrollment ID: I20151118000202 |
| Provider Name | Steven S Brumfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992745624 PECOS PAC ID: 5193818615 Enrollment ID: I20160302002751 |
| Provider Name | Sheila Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740649607 PECOS PAC ID: 3971800533 Enrollment ID: I20160324001723 |
| Provider Name | Bonnie Renee Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026557 PECOS PAC ID: 5890009484 Enrollment ID: I20161219002391 |
| Provider Name | Tonnette Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601143 PECOS PAC ID: 4688958705 Enrollment ID: I20170308001802 |
| Provider Name | Amanda D Workman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033323100 PECOS PAC ID: 1355424359 Enrollment ID: I20170324001170 |
| Provider Name | Tinecia Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316308034 PECOS PAC ID: 5193000438 Enrollment ID: I20170328002121 |
| Provider Name | Larin L Rearden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932526092 PECOS PAC ID: 5193092229 Enrollment ID: I20170523000945 |
| Provider Name | Natalie R Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336661222 PECOS PAC ID: 3375814726 Enrollment ID: I20170803003094 |
| Provider Name | Catherine C Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760902001 PECOS PAC ID: 9739451683 Enrollment ID: I20170828001405 |
| Provider Name | Tiffany Ann Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245516251 PECOS PAC ID: 6901073972 Enrollment ID: I20171005003060 |
| Provider Name | Molly Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437181104 PECOS PAC ID: 7012002439 Enrollment ID: I20171017001300 |
| Provider Name | Jacqueline N Stumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275938904 PECOS PAC ID: 9436449907 Enrollment ID: I20180608000773 |
| Provider Name | Heather Leigh Mayville |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699190181 PECOS PAC ID: 0244463610 Enrollment ID: I20181205002128 |
| Provider Name | Sarah A Setran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659778975 PECOS PAC ID: 4183948193 Enrollment ID: I20190110002479 |
| Provider Name | Janelle Elaine Fitzgerald Kratzenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669957569 PECOS PAC ID: 4082959945 Enrollment ID: I20190319002239 |
| Provider Name | Melissa Callihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272437 PECOS PAC ID: 5698016384 Enrollment ID: I20190405001809 |
| Provider Name | Tiffany Lemasters |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215212394 PECOS PAC ID: 5092972810 Enrollment ID: I20191030002894 |
| Provider Name | Lisa R Dean |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972667137 PECOS PAC ID: 5890087233 Enrollment ID: I20200330001462 |
| Provider Name | Thomas L Graf |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073179545 PECOS PAC ID: 7810327806 Enrollment ID: I20200414003307 |
| Provider Name | Monica E Cline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265471395 PECOS PAC ID: 9931106192 Enrollment ID: I20200622002312 |
| Provider Name | Donna Bolden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194729111 PECOS PAC ID: 1355519406 Enrollment ID: I20200629000554 |
| Provider Name | Pearl E Hennan-hain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871597815 PECOS PAC ID: 6800064502 Enrollment ID: I20200630001537 |
| Provider Name | Robert B Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871096321 PECOS PAC ID: 2860731635 Enrollment ID: I20200804002660 |
| Provider Name | Brittany L Kiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912436791 PECOS PAC ID: 3577980267 Enrollment ID: I20200826001655 |
| Provider Name | Kimberly A Demattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834539 PECOS PAC ID: 8325445133 Enrollment ID: I20210921003581 |
| Provider Name | Madison N Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285391581 PECOS PAC ID: 2668843657 Enrollment ID: I20230131000861 |
Rahul D Patil Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 S 6th St, Ironton, OH 45638 Phone: 740-532-5141 Fax: 740-532-6737 | |
Ironton Health Care Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Campbell Drive, Ironton, OH 45638 Phone: 740-532-3534 Fax: 740-532-5489 | |
One Stop Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N 3rd St, Ironton, OH 45638 Phone: 740-532-7855 | |
Kevin Lambert Npc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Park Ave, Ironton, OH 45638 Phone: 740-532-1613 Fax: 740-532-1715 | |
Patrio D Tismo Pa Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 North 3rd Street, Ironton, OH 45638 Phone: 740-532-0059 Fax: 740-532-0380 | |
Ironton Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N 2nd St, Ironton, OH 45638 Phone: 740-532-2282 Fax: 740-532-9412 |