Active NPI
Neurological Associates of Southeast Ohio Inc
- Neurology Physician
- Zanesville, OH
National Provider Identifier
1003837048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35039044
- Legal business name
- NEUROLOGICAL ASSOCIATES OF SOUTHEAST OHIO INC
- Practice address
- 945 Bethesda Dr
Suite 230
Zanesville, OH 43701-0801 - Phone
- (740) 453-0680
- Fax
- (740) 453-5158
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca J Glass
- Title
- Office Manager
- Phone
- (740) 453-0680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35039044 | OH | Primary |
Addresses
Primary practice location
945 Bethesda Dr
Suite 230
Zanesville, OH 43701-0801
Mailing address
945 Bethesda Dr
Suite 230
Zanesville, OH 43701-0801
Phone (740) 453-0680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308223 | Medicaid | OH | |
| 000000117692 | Other | OH | BLUE CROSS PROVIDER NUMBE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341532800000",
"number": "1003837048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 BETHESDA DR",
"address_2": "SUITE 230",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437010801",
"telephone_number": "740-453-0680",
"fax_number": "740-453-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 BETHESDA DR",
"address_2": "SUITE 230",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437010801",
"telephone_number": "740-453-0680",
"fax_number": "740-453-5158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICAL ASSOCIATES OF SOUTHEAST OHIO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2012-07-06",
"status": "A",
"authorized_official_last_name": "GLASS",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "740-453-0680",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35039044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0308223",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "000000117692",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.