NPIMap

Organization Active NPI

Nephrology Medical Associates of Ga, LLC

Doing business as Muskingum Medical Group

  • Nephrology Physician
  • Zanesville, OH
National Provider Identifier
1164850533
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY MEDICAL ASSOCIATES OF GA, LLC
Doing business as
Muskingum Medical Group
Practice address
3777 James CT
Suite 1
Zanesville, OH 43701-8127
Phone
(740) 453-5003
Fax
(740) 452-8826
NPI assigned
Oct 23, 2013
Last updated
Oct 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Deron Frank
Title
General Manager/Vice President
Phone
(310) 536-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

3777 James CT
Suite 1
Zanesville, OH 43701-8127

Mailing address

2000 16TH St
Denver, CO 80202-5158
Phone (303) 876-7243

Other names 1

  • Muskingum Medical Group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0980434Muskingum Medical Group LTD3777 James Court, Zanesville, OH 43701Provider-performed microscopyNov 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Davita Kidney Specialists of Alabama5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3777 James Ct
Ste 1
Zanesville, OH 43701
Phone (740) 453-5003

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1164850533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 16TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025158",
            "telephone_number": "303-876-7243",
            "fax_number": "866-917-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 JAMES CT",
            "address_2": "SUITE 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437018127",
            "telephone_number": "740-453-5003",
            "fax_number": "740-452-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY MEDICAL ASSOCIATES OF GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "DERON",
        "authorized_official_title_or_position": "GENERAL MANAGER/VICE PRESIDENT",
        "authorized_official_telephone_number": "310-536-2402"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muskingum Medical Group",
            "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 Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.