Basic Information
| Provider Information | |||||||||
| NPI: | 1366533390 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1105 SCHROCK RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432291146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145057633 | ||||||||
| FaxNumber: | 6148471106 | ||||||||
| Practice Location | |||||||||
| Address1: | 1068 STATE ROUTE 28 | ||||||||
| Address2: | #C | ||||||||
| City: | MILFORD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451502095 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138315900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 04/08/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 034009030 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 03046 | KY | N | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 93584461 | 01 | OH | MEDICARE GROUP | OTHER |