NPIMap

Organization Active NPI

Health Professionals of Holmest County, Inc.

  • Family Medicine Physician
  • Millersburg, OH
National Provider Identifier
1013398874
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH PROFESSIONALS OF HOLMEST COUNTY, INC.
Practice address
1261 Wooster Rd Ste 200
Millersburg, OH 44654-1570
Phone
(330) 674-3000
NPI assigned
Jun 17, 2015
Organization subpart
Yes
Parent organization
HEALTH PROFESSIONALS OF HOLMES COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Justus
Title
Chief Financial Officer
Phone
(330) 674-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1261 Wooster Rd Ste 200
Millersburg, OH 44654-1570

Mailing address

981 Wooster Rd
Millersburg, OH 44654-1536
Phone (330) 674-0015

Other practice location 1

931 Wooster Rd
Millersburg, OH 44654-1536
Phone (330) 674-8444

Other practice location 2

1261 Wooster Rd Ste 230
Millersburg, OH 44654-1570
Phone (330) 893-1318

Other practice location 3

4900 Oak Street
Berlin, OH 44654
Phone (330) 674-3000

Other practice location 4

121 W Main St
Loudonville, OH 44842-1247
Phone (419) 994-0212

Other names 1

  • Pomerene Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Professionals of Holmes County Inc7 organizations share this tax ID, including this one
Part of
Health Professionals of Holmes County Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 W Main St
Loudonville, OH 44842
Phone (419) 994-0212

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1013398874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-674-0015",
            "fax_number": "330-674-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 WOOSTER RD STE 200",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541570",
            "telephone_number": "330-674-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 Wooster Rd",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446541536",
            "country_code": "US",
            "telephone_number": "330-674-8444",
            "fax_number": "330-674-5065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1261 Wooster Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446541570",
            "country_code": "US",
            "telephone_number": "330-893-1318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Oak Street",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "OH",
            "postal_code": "44654",
            "country_code": "US",
            "telephone_number": "330-674-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 W Main St",
            "address_purpose": "LOCATION",
            "city": "Loudonville",
            "state": "OH",
            "postal_code": "448421247",
            "country_code": "US",
            "telephone_number": "419-994-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH PROFESSIONALS OF HOLMEST COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH PROFESSIONALS OF HOLMES COUNTY, INC.",
        "enumeration_date": "2015-06-17",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "JUSTUS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-674-1015"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomerene Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pomerene Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.