NPIMap

Organization Active NPI

O. R. R. MD. Inc.

  • Primary Care Clinic/Center
  • Zanesville, OH
National Provider Identifier
1104032408
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35041605 Issued in OH
Legal business name
O. R. R. MD. INC.
Practice address
3814 James CT
Zanesville, OH 43701-0965
Phone
(740) 454-7119
Fax
(740) 455-5155
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Othello R Repuyan, M.D.
Title
President
Phone
(740) 454-7119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35041605 OH Primary

Addresses

Primary practice location

3814 James CT
Zanesville, OH 43701-0965

Mailing address

3814 James CT
Zanesville, OH 43701-0965
Phone (740) 454-7119

Other identifiers 1

IdentifierTypeStateIssuer
2806682MedicaidOH

Other names 1

  • Muskingum Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Muskingum Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3814 James Ct
Zanesville, OH 43701
Phone (740) 454-7119

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1104032408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 JAMES CT",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010965",
            "telephone_number": "740-454-7119",
            "fax_number": "740-455-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 JAMES CT",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010965",
            "telephone_number": "740-454-7119",
            "fax_number": "740-455-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O. R. R. MD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "REPUYAN",
        "authorized_official_first_name": "OTHELLO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-454-7119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35041605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2806682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muskingum Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2008; 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.