David Arthur Pack, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35-03-0158-P Issued in OH

Practice address

1430 Columbus Ave
Washington Court House, OH 43160-1703

Phone

(740) 333-2780

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Access Urgent Medical Care of Upper Arlington Inc

  • Urgent Care Clinic/Center
  • Upper Arlington, OH
  • NPI 1124017025
  NPD (past)
• Dublin Urgent Care Inc

  • Urgent Care Clinic/Center
  • Dublin, OH
  • NPI 1053308148
  NPD (past)
• Mary Rutan Hospital

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)
• Urgent Medical Care of Pickerington

  • Urgent Care Clinic/Center
  • Pickerington, OH
  • NPI 1518954601
  NPD (past)
• St. Luke Hospitals Inc

  • Obstetrics & Gynecology Physician
  • Fort Thomas, KY
  • NPI 1902910987
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114131448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MISTLETOE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432304826",
            "telephone_number": "614-476-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 COLUMBUS AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601703",
            "telephone_number": "740-333-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-03-0158-P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64154214",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112265",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio CVS Stores LLC
• John M Oliver
• Optique Family Vision Care
• Oral & Maxillofacial Surgery Centers, Inc
• Angela Marie Ott
• Michael Pappas, D.D.S.
• Adrian D Parks
• Nihar Arvind Patel, MD
• Sara Patterson
• Robin Pavey, RN

• Obstetrics & Gynecology Physician in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.