Knox Community Hospital
Organization Active NPI Family Medicine Physician · Mount Vernon, OH
NPI 1154483022 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1154483022
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35.077162 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Danielle O'Brien
- Title
- Cfo
- Phone
- (740) 393-9138
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 8
Practitioners 209
-
Jennifer Aikey, CRNA
-
Samuel R Anderson, M.D.
-
Misty Dawn Bailey, FNP-C
-
Kristin E Baker, CNP
-
Matthew Ryan Baker, CRNA
-
Sunil V Bhat, MD
-
David H Brown, MD
-
Jessica M Burdett, APRN
-
Kimber Cullers, NP
-
Gregory J Cush, MD
-
Jodi Dome-Linger, DO
-
Allison R Doup, CNP
-
Robert L. Drake, D.O.
-
Kelsey Durbin, MD
-
Laura Eichenlaub, NP-C
-
Abigail L Elliott, DPM
-
Antonia Artise Erndt, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
Locations (25 of 28)
304 S 4th St
Coshocton, OH 43812
Phone (740) 622-6612
5130 Bradenton Ave
Dublin, OH 43017
Phone (614) 734-1100
123 Phoenix Pl
Fredericktown, OH 43019
16351 VLG Pkwy
Fredericktown, OH 43019
113 Harding Way E
Galion, OH 44833
Phone (419) 468-1075
865 Harding Way W
Galion, OH 44833
Phone (419) 438-0570
248 Blymyer Ave
Mansfield, OH 44903
Phone (419) 524-2212
210 N 7th St
Ste 101
Marietta, OH 45750
Phone (740) 373-0669
1000 E Washington St
Ste 348
Medina, OH 44256
Phone (330) 725-1000
1330 Coshocton Ave
Ste 1A
Mount Vernon, OH 43050
1330 Coshocton Ave
Ste 602
Mount Vernon, OH 43050
1490 Coshocton Ave
Ste B
Mount Vernon, OH 43050
Phone (740) 393-9111
1451 Yauger Rd
Ste 1F
Mount Vernon, OH 43050
Phone (740) 397-8500
1451 Yauger Rd
Ste 1C
Mount Vernon, OH 43050
Phone (740) 393-4325
1330 Coshocton Ave
#1
Mount Vernon, OH 43050
809 Coshocton Ave
Ste C
Mount Vernon, OH 43050
Phone (740) 397-1900
1330 Coshocton Ave
Ste 1
Mount Vernon, OH 43050
1451 Yauger Rd
Ste 2D
Mount Vernon, OH 43050
Phone (740) 393-9175
1451 Yauger Rd
Ste 2B
Mount Vernon, OH 43050
Phone (740) 393-9898
1451 Yauger Rd
Ste 1D
Mount Vernon, OH 43050
Phone (740) 392-4453
1330 Coshocton Ave
#5
Mount Vernon, OH 43050
1661 Venture Dr
Ste A
Mount Vernon, OH 43050
Phone (740) 397-2915
1330 Coshocton Ave
#2
Mount Vernon, OH 43050
1451 Yauger Rd
Mount Vernon, OH 43050
Phone (740) 397-1420
1661 Venture Dr
Mount Vernon, OH 43050
Phone 6144616634131
Interoperability endpoints
- chandravadanpatel@bhlth.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 35.077162 | OH | Yes |
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
Other providers in Mount Vernon, OH
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
- Knox Community Hospital
All providers in Mount Vernon, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.