Individual provider Active NPI

Sean Karl Choice, M.D.

  • Diagnostic Radiology Physician
  • Newark, OH
National Provider Identifier
1073693503
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-069450 Issued in OH
Practice address
2112 Cherry Valley Rd
Newark, OH 43055-1323
Phone
(740) 522-3774
Fax
(740) 522-2221
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-069450 OH Primary

Addresses

Primary practice location

2112 Cherry Valley Rd
Newark, OH 43055-1323

Mailing address

2112 Cherry Valley Rd
P O Box 948
Newark, OH 43055-1323
Phone (740) 522-3774

Other identifiers 2

IdentifierTypeStateIssuer
300096717OtherRAILROAD MEDICARE
2050211MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-069450OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto Valley Family Physicians Inc PastSince Apr 17, 2010 Accepting new patients
Chillicothe Radiology Inc Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1073693503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 CHERRY VALLEY RD",
            "address_2": "P O BOX 948",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551323",
            "telephone_number": "740-522-3774",
            "fax_number": "740-522-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 CHERRY VALLEY RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551323",
            "telephone_number": "740-522-3774",
            "fax_number": "740-522-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOICE",
        "first_name": "SEAN",
        "middle_name": "KARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-069450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300096717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050211",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.