Beavertown Clinic Inc
NPI 1902803703ActiveOrganization· Family Medicine· Kettering, OH
Family Medicine in Kettering, Ohio, registered in NPPES in July 2005. The authorized official on file is Bernard J. Rose, M.D., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902803703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2005 |
| Last updated in NPPES | Feb 23, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35052219R | OH |
| Family Medicine | 207Q00000X | 35058825R | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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