| Bethesda Family Practice Center | |
|
1775 W Lexington Ste 100 Cincinnati OH 45212-3667 | |
| (513) 977-6700 | |
| (513) 531-2624 |
| Full Name | Bethesda Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1775 W Lexington Ste 100, Cincinnati, Ohio |
| Authorized Official Name and Position | Linda Estep (MANAGER) |
| Authorized Official Contact | 5139776715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Family Practice Center 1775 W Lexington Ste 100 Cincinnati OH 45212-3667 Ph: (513) 977-6700 | Bethesda Family Practice Center 1775 W Lexington Ste 100 Cincinnati OH 45212-3667 Ph: (513) 977-6700 |
| NPI Number | 1124061494 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 03/27/2018 |
| Medicare PECOS PAC ID | 7012905292 |
|---|---|
| Medicare Enrollment ID | O20040505000929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124061494 | NPI | - | NPPES |
| 0687529 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert L Kunkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366481095 PECOS PAC ID: 5698678324 Enrollment ID: I20040130000002 |
| Provider Name | James P Konerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588666978 PECOS PAC ID: 3173417177 Enrollment ID: I20040211000217 |
| Provider Name | Mauricio H Caceres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538151642 PECOS PAC ID: 2860380912 Enrollment ID: I20040309001141 |
| Provider Name | Scott E Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093706061 PECOS PAC ID: 2668463084 Enrollment ID: I20040524000182 |
| Provider Name | Richard A Okragly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265514095 PECOS PAC ID: 2769458025 Enrollment ID: I20040908000653 |
| Provider Name | Joyce Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033111463 PECOS PAC ID: 7618923111 Enrollment ID: I20050328001125 |
| Provider Name | Kelly Ann Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952505901 PECOS PAC ID: 5294808184 Enrollment ID: I20080725000363 |
| Provider Name | Dallas Auvil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922111251 PECOS PAC ID: 1052487089 Enrollment ID: I20080827000557 |
| Provider Name | Elizabeth Beiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699979617 PECOS PAC ID: 8224181730 Enrollment ID: I20090731000143 |
| Provider Name | Jonathan Sorscher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154403954 PECOS PAC ID: 3577687003 Enrollment ID: I20100903000812 |
| Provider Name | Lorraine Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942382759 PECOS PAC ID: 8921122466 Enrollment ID: I20100903000832 |
| Provider Name | Michael Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942385802 PECOS PAC ID: 8022133537 Enrollment ID: I20100921000115 |
| Provider Name | Stephen M Zitelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588981351 PECOS PAC ID: 8022253582 Enrollment ID: I20130404000124 |
| Provider Name | Amanda Goodale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720344757 PECOS PAC ID: 2668798430 Enrollment ID: I20161024001333 |
| Provider Name | Nina C Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588977813 PECOS PAC ID: 6800039447 Enrollment ID: I20170316002627 |
| Provider Name | Holly Danielle Ait Taouit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699288191 PECOS PAC ID: 9830456151 Enrollment ID: I20171121003145 |
| Provider Name | Joshua C Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427336841 PECOS PAC ID: 4183947823 Enrollment ID: I20180822001716 |
| Provider Name | Catherine L Troncone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669029583 PECOS PAC ID: 5092148767 Enrollment ID: I20191211000304 |
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