Organization Active NPI

Nick Ghaphery LLC

  • Sports Medicine (Family Medicine) Physician
  • St Clairsville, OH
National Provider Identifier
1104832476
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
34006290 Issued in OH
Legal business name
NICK GHAPHERY LLC
Practice address
106 Plaza Drive
St Clairsville, OH 43950
Phone
(740) 296-5529
Fax
(740) 296-5160
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Dr. Nick A Ghaphery, D.O.NPI 1275534653
Title
Sole Propr
Phone
(740) 671-1291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X 34006290 OH Primary

Addresses

Primary practice location

106 Plaza Drive
St Clairsville, OH 43950

Mailing address

106 Plaza Drive
St Clairsville, OH 43950
Phone (740) 296-5529

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1104832476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLAZA DRIVE",
            "city": "ST CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-296-5529",
            "fax_number": "740-296-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DRIVE",
            "city": "ST CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-296-5529",
            "fax_number": "740-296-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK GHAPHERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "GHAPHERY",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPR",
        "authorized_official_telephone_number": "740-671-1291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34006290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.