NPIMap

Organization Active NPI

Fayette County Memorial Hospital

  • Family Medicine Physician
  • Washington Court House, OH
National Provider Identifier
1043380579
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1168 Issued in OH
Legal business name
FAYETTE COUNTY MEMORIAL HOSPITAL
Practice address
1510 Columbus Ave
Suite # 230
Washington Court House, OH 43160-1899
Phone
(740) 333-3333
Fax
(740) 333-5171
NPI assigned
Nov 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Donald Michael Diener
Title
Ceo
Phone
(740) 333-2705

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Fayette County
    • Public Health & General Preventive Medicine Physician
    • Washington CH, OH
    • NPI 1477602811

    Member Of

    NPD member

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

National Provider Directory

National Provider Directory

Locations

1450 Columbus Ave
Ste B678
Washington Court House, OH 43160

1450 Columbus Ave
Ste 230
Washington Court House, OH 43160

1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 1168 OH Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1168 OH
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 1168 OH

Addresses

NPPES NPI Registry

Primary practice location

1510 Columbus Ave
Suite # 230
Washington Court House, OH 43160-1899

Mailing address

1450 Columbus Ave
Suite # B 6-7-8
Washington Court House, OH 43160-3701
Phone (740) 333-2236

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2970665MedicaidOH

Other names 1

NPPES NPI Registry
  • Fayette County Memorial Hospital Medical and Surgical Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2020.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1043380579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE",
            "address_2": "SUITE # B 6-7-8",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-2236",
            "fax_number": "740-333-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COLUMBUS AVE",
            "address_2": "SUITE # 230",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601899",
            "telephone_number": "740-333-3333",
            "fax_number": "740-333-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "DIENER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-333-2705"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "1168",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "1168",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "1168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2970665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette County Memorial Hospital Medical and Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fayette County Memorial Hospital Medical and Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.