BECKETT RIDGE FAMILY MEDICINE INC. NPI 1740337765

NPI Information

  • NPI: 1740337765
  • Provider Name: BECKETT RIDGE FAMILY MEDICINE, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 36D0863514
  • Address: 4870 WUNNENBERG WAY
    WEST CHESTER, OH
    ZIP 45069
  • Phone: (513) 860-4600

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NPI Details

BECKETT RIDGE FAMILY MEDICINE, INC. is a family medicine in West Chester, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BECKETT RIDGE FAMILY MEDICINE, INC. NPI is 1740337765. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4870 WUNNENBERG WAY
WEST CHESTER, OH
ZIP 45069-863
Phone: (513) 860-4600
Fax: (513) 860-9059

The provider's authorized official is Christopher J Diatte .
The authorized official title is President and has the following contact phone number (513) 860-4600.

The CLIA number assigned to this NPI record is 36D0863514 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/4/2007 and was last updated on 12/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine34008204OHIONo
2207Q00000XFamily Medicine35060538OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I22647MEDICARE UPINOHIO
2F22399MEDICARE UPINOHIO
39312731MEDICARE ID-TYPE UNSPECIFIEDOHIOGROUP MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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