NPIMap

Organization Active NPI

Knox Community Hospital

  • Family Medicine Physician
  • Mount Vernon, OH
National Provider Identifier
1154483022
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.077162 Issued in OH
Legal business name
KNOX COMMUNITY HOSPITAL
Practice address
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone
(740) 393-6583
Fax
(740) 392-0167
NPI assigned
Dec 15, 2006
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Mrs. Danielle O'Brien
Title
Cfo
Phone
(740) 393-9138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.077162 OH Primary

Addresses

Primary practice location

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

Mailing address

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (740) 393-9658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722001173 OH Part B Supplier - Clinic/Group Practice 1153301833 Receives reassigned benefits from 202 practitioners
9 other NPIs on this enrollment
Practice locations: Mount Vernon, OH; Mt Vernon, OH; Ontario, OH; Centerburg, OH; Galion, OH; Bucyrus, OH; Danville, OH; Fredericktown, OH…

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

123 Phoenix Pl
Fredericktown, OH 43019

16351 VLG Pkwy
Fredericktown, OH 43019

113 Harding Way E
Galion, OH 44833
Phone (419) 468-1075

745 Carter Dr
Galion, OH 44833
Phone (567) 309-2050

1220 Yauger Rd
Ste A
Mount Vernon, OH 43050
Phone (740) 263-7036

1330 Coshocton Ave
#1
Mount Vernon, OH 43050

1330 Coshocton Ave
#2
Mount Vernon, OH 43050

1330 Coshocton Ave
#5
Mount Vernon, OH 43050

1330 Coshocton Ave
Ste 1
Mount Vernon, OH 43050

1330 Coshocton Ave
Ste 602
Mount Vernon, OH 43050

1330 Coshocton Ave
Ste A
Mount Vernon, OH 43050
Phone (740) 326-3540

1330 Coshocton Ave
Ste C
Mount Vernon, OH 43050
Phone (740) 393-9866

1451 Yauger Rd
Ste 1B
Mount Vernon, OH 43050
Phone (740) 397-0700

1451 Yauger Rd
Ste 1C
Mount Vernon, OH 43050
Phone (740) 393-4325

1490 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9111

1490 Coshocton Ave
Ste B
Mount Vernon, OH 43050
Phone (740) 393-9111

1661 Venture Dr
Mount Vernon, OH 43050
Phone 6144616634131

1661 Venture Dr
Ste A
Mount Vernon, OH 43050
Phone (740) 397-2915

7 Woodlake Trl
Ste B
Mount Vernon, OH 43050
Phone (740) 399-3846

809 Coshocton Ave
Ste A
Mount Vernon, OH 43050
Phone (740) 326-6110

809 Coshocton Ave
Ste C
Mount Vernon, OH 43050
Phone (740) 397-1900

812 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 397-0770

155 Commerce Park Dr
Ste 6
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: chandravadanpatel@bhlth.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 209

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 209

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1154483022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501440",
            "telephone_number": "740-393-9658",
            "fax_number": "740-392-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501440",
            "telephone_number": "740-393-6583",
            "fax_number": "740-392-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-393-9138",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.077162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.