Provider Demographics
NPI:1023238771
Name:BLUFFTON PHYSICIANS, INC.
Entity type:Organization
Organization Name:BLUFFTON PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAUGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-358-5916
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:OH
Mailing Address - Zip Code:45817-0069
Mailing Address - Country:US
Mailing Address - Phone:419-358-5916
Mailing Address - Fax:419-358-2302
Practice Address - Street 1:505 E JEFFERSON ST STE A
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:OH
Practice Address - Zip Code:45817-1349
Practice Address - Country:US
Practice Address - Phone:419-358-5916
Practice Address - Fax:419-358-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0422582Medicaid
OH04277OtherPARAMOUNT
OH4508989OtherAETNA
OH22000000164882OtherANTHEM
OH=========OtherUNICARE
OH4508989OtherAETNA
OH22000000164882OtherANTHEM