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HEALTHSOURCE: GEORGETOWN PEDIATRICS
NPI 1700980869
Clinic/Center - Primary Care in Georgetown, OH

Active since September 11, 2006
631 E STATE ST, GEORGETOWN, OH 45121(937) 378-6387(937) 378-4253 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Apr 30, 2019, Apr 26, 2017 and 1 more (4 updates tracked since 2016).

About Healthsource: Georgetown Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE: GEORGETOWN PEDIATRICS (NPI 1700980869) is a healthcare organization registered as a primary care in Georgetown, Ohio and active in the NPI registry since September 2006. The organization lists Joseph W Prather Ii, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700980869
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTHSOURCE OF OHIO, INC.
Location Address631 E STATE STGeorgetown, OH 45121-1437
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 074-0417 · Fax (513) 576-1020
Phone(937) 378-6387
Fax(937) 378-4253
Organization SubpartNo
Authorized OfficialJoseph W Prather IiCeo · (513) 707-4041
Enumeration DateSeptember 11, 2006
Last NPPES UpdateSeptember 18, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1700980869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
631 E STATE ST, Georgetown, OH 45121
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Other Names 1

Doing Business AsHealthsource: Georgetown Pediatrics

Other Identifiers 1

Medicaid0598349OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA STRUB CNP
Nurse Practitioner (Family)
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387
DR. SUSAN ELAINE REED M.D.
Family Medicine
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387
HEALTHSOURCE OF OHIO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387
MRS. MELISSA N WRIGHT FNP-BC
Nurse Practitioner (Family)
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387
EMILY MARTINEZ APRN
Nurse Practitioner (Pediatrics)
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387
ANYA C. BAUMAN MD
Pediatrics
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387
JOSIE ANN GAST PA-C
Physician Assistant (Medical)
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387
DR. BRADLEY JAY STOKES D.O.
Family Medicine
631 E STATE ST
GEORGETOWN, OH 45121
Brown County (937) 378-6387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Ohio, Inc.'s NPI number?

The NPI number for Healthsource Of Ohio, Inc. is 1700980869. It was assigned to this organization in the NPPES registry on September 11, 2006. The provider is doing business as Healthsource: Georgetown Pediatrics.

Where is Healthsource Of Ohio, Inc. located?

Healthsource Of Ohio, Inc. is located at 631 E State St, Georgetown, OH 45121. The listed phone number is (937) 378-6387.

What is Healthsource Of Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Healthsource Of Ohio, Inc. accept?

Health plans from Molina Healthcare list Healthsource Of Ohio, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthsource Of Ohio, Inc. was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.